TAMMY W ELLIS Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043078501

License Status

NOT RENEWED

Business

First Name

TAMMY W

Last Name

ELLIS

Business Name

TAMMY W ELLIS

Original Issue Date

11/14/1995

Effective Date

03/04/2003

Expiration Date

01/31/2003

City

SPARTA

State

Zip

62286

County

RANDOLPH

Ever Disciplined

LastModifiedDate

08/03/2018