| Name | ERIN J ELLIS |
| City/State |
| License and Registration Information | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Credential | License Type | Original Issue | Issue Date | Expiration Date | Status | Discipline | How issued | Description | |||||||
| PN.130057-M-IV | Licensed Practical Nurse - M-IV | 04/25/2008 | 06/23/2014 | 08/31/2016 | ACTIVE | Examination | |||||||||