CARLY ANNE ELLISON Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043101464

License Status

NOT RENEWED

Business

First Name

CARLY

Middle

ANNE

Last Name

ELLISON

Business Name

CARLY ANNE ELLISON

Original Issue Date

04/03/2006

Effective Date

11/03/2006

Expiration Date

01/31/2009

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

03/17/2009