ELISABETH ROSE ILLENBERG Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041407396

License Status

NOT RENEWED

Business

First Name

ELISABETH

Middle

ROSE

Last Name

ILLENBERG

Business Name

ELISABETH ROSE ILLENBERG

Original Issue Date

12/04/2012

Effective Date

04/10/2014

Expiration Date

05/31/2016

City

AVERILL PARK

State

Zip

12018

County

NEW YORK

Ever Disciplined

LastModifiedDate

07/11/2016