ELLEN MARIE ERICSON Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043077179

License Status

NOT RENEWED

Business

First Name

ELLEN MARIE

Last Name

ERICSON

Business Name

ELLEN MARIE ERICSON

Original Issue Date

02/23/1995

Effective Date

12/29/2010

Expiration Date

01/31/2013

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

03/20/2013