ELLEN B CLEMENTZ Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043058077

License Status

NOT RENEWED

Business

First Name

ELLEN B

Last Name

CLEMENTZ

Business Name

ELLEN B CLEMENTZ

Original Issue Date

12/27/1983

Expiration Date

01/31/1993

City

WASHINGTON

State

Zip

61571

County

TAZEWELL

Ever Disciplined

LastModifiedDate

10/21/2005