PETER ELLENA Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043019257

License Status

INACTIVE

Business

First Name

PETER

Last Name

ELLENA

Business Name

PETER ELLENA

Original Issue Date

06/06/1967

Expiration Date

01/31/1985

City

STREATOR

State

Zip

61364

County

LA SALLE

Ever Disciplined

LastModifiedDate

10/21/2005