MARY ELLEN ONTIVEROS Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043045895

License Status

NOT RENEWED

Business

First Name

MARY ELLEN

Last Name

ONTIVEROS

Business Name

MARY ELLEN ONTIVEROS

Original Issue Date

01/26/1979

Expiration Date

01/31/1985

City

HOOPESTON

State

Zip

60942

County

VERMILION

Ever Disciplined

LastModifiedDate

10/21/2005