LAKHILA D TELLIS Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043087214

License Status

NOT RENEWED

Business

First Name

LAKHILA

Middle

Last Name

TELLIS

Business Name

LAKHILA D TELLIS

Original Issue Date

03/20/2002

Effective Date

03/04/2005

Expiration Date

01/31/2005

City

ROCKFORD

State

Zip

61102

Ever Disciplined

LastModifiedDate

10/15/2005