MARYLOU ANN ENNIS Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041506787

License Status

NOT RENEWED

Business

First Name

MARYLOU

Middle

ANN

Last Name

ENNIS

Business Name

MARYLOU ANN ENNIS

Original Issue Date

03/09/2021

Effective Date

07/20/2022

Expiration Date

06/30/2024

City

BALLSTON LAKE

State

Zip

12019

Ever Disciplined

LastModifiedDate

02/05/2025