ELLEN MARIE SHOLES Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043028257

License Status

NOT RENEWED

Business

First Name

ELLEN MARIE

Last Name

SHOLES

Business Name

ELLEN MARIE SHOLES

Original Issue Date

04/01/1971

City

ROCKFORD

State

Zip

61109

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/21/2005