LISA MARIE ELLIS Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041258480

License Status

INACTIVE

Business

First Name

LISA MARIE

Last Name

ELLIS

Business Name

LISA MARIE ELLIS

Original Issue Date

09/29/1990

Effective Date

09/29/1990

Expiration Date

05/31/2000

City

KENOSHA

State

Zip

53142

County

WISCONSIN

Ever Disciplined

LastModifiedDate

09/27/2006