BENJAMIN B ELLAZAR Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043117583

License Status

ACTIVE

Business

First Name

BENJAMIN

Middle

Last Name

ELLAZAR

Business Name

BENJAMIN B ELLAZAR

Original Issue Date

09/13/2013

Effective Date

12/30/2024

Expiration Date

01/31/2027

City

CHAMPAIGN

State

Zip

61822

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

12/30/2024