SHIRLEY A ELLIS Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041306261

License Status

NOT RENEWED

Business

First Name

SHIRLEY

Middle

Last Name

ELLIS

Business Name

SHIRLEY A ELLIS

Original Issue Date

09/25/1997

Effective Date

09/25/1997

Expiration Date

05/31/2002

City

MUNSTER

State

Zip

46321

County

INDIANA

Ever Disciplined

LastModifiedDate

10/09/2006