ROSLYN S ELLIS Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043077562

License Status

NOT RENEWED

Business

First Name

ROSLYN

Middle

Last Name

ELLIS

Business Name

ROSLYN S ELLIS

Original Issue Date

06/01/1995

Effective Date

03/04/2005

Expiration Date

01/31/2005

City

EAST CHICAGO

State

Zip

46312

Ever Disciplined

LastModifiedDate

10/15/2005