ELLEN LOUISE SMITH Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043025908

License Status

INACTIVE

Business

First Name

ELLEN LOUISE

Last Name

SMITH

Business Name

ELLEN LOUISE SMITH

Original Issue Date

12/17/1969

Effective Date

01/30/2009

Expiration Date

01/31/2011

City

PARK CITY

State

Zip

60085

County

LAKE

Ever Disciplined

LastModifiedDate

11/03/2010