ELLEN L DAVIS Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043054192

License Status

INACTIVE

Business

First Name

ELLEN

Middle

Last Name

DAVIS

Business Name

ELLEN L DAVIS

Original Issue Date

07/27/1982

Effective Date

02/03/2005

Expiration Date

01/31/2005

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

10/15/2005