PHILLIP PAUL ELLISON Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041480199

License Status

NOT RENEWED

Business

First Name

PHILLIP

Middle

PAUL

Last Name

ELLISON

Business Name

PHILLIP PAUL ELLISON

Original Issue Date

06/18/2019

Effective Date

03/30/2020

Expiration Date

08/31/2022

City

WINSTON SALEM

State

Zip

27104

Ever Disciplined

LastModifiedDate

10/14/2022