JACQUELINE ANN ELLIS Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043087821

License Status

NOT RENEWED

Business

First Name

JACQUELINE

Middle

ANN

Last Name

ELLIS

Business Name

JACQUELINE ANN ELLIS

Original Issue Date

10/01/2002

Effective Date

03/04/2005

Expiration Date

01/31/2005

City

MOUNT VERNON

State

Zip

62864

Ever Disciplined

LastModifiedDate

10/15/2005