MARY KAY ELLIS Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043020532

License Status

INACTIVE

Business

First Name

MARY KAY

Last Name

ELLIS

Business Name

MARY KAY ELLIS

Original Issue Date

07/07/1967

Expiration Date

01/31/1993

City

MISHAWAKA

State

Zip

46544

County

INDIANA

Ever Disciplined

LastModifiedDate

10/21/2005