PETER ELLENA - Registered Nurse License in Illinois | # 043019257

PETER ELLENA

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043019257

License Status

INACTIVE

Business

N

First Name

PETER

Last Name

ELLENA

Business Name

PETER ELLENA

Original Issue Date

06/06/1967

Expiration Date

01/31/1985

State

IL

Ever Disciplined

N

LastModifiedDate

10/21/2005