ELLEEN MARLENE MODRO Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043012158

License Status

NOT RENEWED

Business

First Name

ELLEEN MARLENE

Last Name

MODRO

Business Name

ELLEEN MARLENE MODRO

Original Issue Date

04/21/1964

Expiration Date

05/01/1982

City

SAWYER

State

Zip

49125

County

MICHIGAN

Ever Disciplined

LastModifiedDate

10/21/2005