ANNA J ELLINGWORTH KNUSSMAN Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043022929

License Status

INACTIVE

Business

First Name

ANNA J

Last Name

ELLINGWORTH KNUSSMAN

Business Name

ANNA J ELLINGWORTH KNUSSMAN

Original Issue Date

04/01/1968

Effective Date

11/24/2004

Expiration Date

01/31/2007

City

TRIVOLI

State

Zip

61569

County

PEORIA

Ever Disciplined

LastModifiedDate

11/03/2006