ELLEN R MAHAN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043077283

License Status

NOT RENEWED

Business

First Name

ELLEN

Middle

Last Name

MAHAN

Business Name

ELLEN R MAHAN

Original Issue Date

03/23/1995

Effective Date

03/04/2005

Expiration Date

01/31/2005

City

MARION

State

Zip

62959

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

10/15/2005