ELLEN MARIE MARAVILLA Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041306957

License Status

NOT RENEWED

Business

First Name

ELLEN

Middle

MARIE

Last Name

MARAVILLA

Business Name

ELLEN MARIE MARAVILLA

Original Issue Date

11/14/1997

Effective Date

05/11/2020

Expiration Date

08/31/2022

City

HOBART

State

Zip

46342

County

INDIANA

Ever Disciplined

LastModifiedDate

10/14/2022