ELLEN MOORE MASON - Registered Nurse License in Illinois | # 043039104

ELLEN MOORE MASON

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043039104

License Status

NOT RENEWED

Business

N

First Name

ELLEN MOORE

Last Name

MASON

Business Name

ELLEN MOORE MASON

Original Issue Date

01/06/1976

Effective Date

04/04/2005

Expiration Date

01/31/2005

State

IL

Ever Disciplined

Y

LastModifiedDate

06/02/2005

Case Number

2003001928

Action

Fine

Discipline Start Date

04/04/2005