BEVERLY ANN ELLIS Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041196428

License Status

INACTIVE

Business

First Name

BEVERLY ANN

Last Name

ELLIS

Business Name

BEVERLY ANN ELLIS

Original Issue Date

09/15/1980

Effective Date

09/15/1980

Expiration Date

05/31/1988

City

TERRE HAUTE

State

Zip

47803

County

INDIANA

Ever Disciplined

LastModifiedDate

09/27/2006