ELLEN CHRISTINE WALTZ Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041411447

License Status

NOT RENEWED

Business

First Name

ELLEN

Middle

CHRISTINE

Last Name

WALTZ

Business Name

ELLEN CHRISTINE WALTZ

Original Issue Date

07/09/2013

Effective Date

07/09/2013

Expiration Date

05/31/2014

City

LAFAYETTE

State

Zip

47905

County

INDIANA

Ever Disciplined

LastModifiedDate

07/03/2014