ELLEN R NISSENBAUM Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043103461

License Status

NOT RENEWED

Business

First Name

ELLEN

Middle

Last Name

NISSENBAUM

Business Name

ELLEN R NISSENBAUM

Original Issue Date

04/30/2007

Effective Date

04/30/2007

Expiration Date

01/31/2009

City

CHICAGO

State

Zip

60659

County

COOK

Ever Disciplined

LastModifiedDate

03/17/2009