ELLA SHARON DEJA Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043090826

License Status

NOT RENEWED

Business

First Name

ELLA

Middle

SHARON

Last Name

DEJA

Business Name

ELLA SHARON DEJA

Original Issue Date

12/14/2004

Effective Date

10/16/2015

Expiration Date

01/31/2017

City

SOUTH BEND

State

Zip

46628

County

INDIANA

Ever Disciplined

LastModifiedDate

03/27/2017