Mary T Ellis

Nursing Board - Csr Prescriptive Authority

Indiana  71004857B   Active

This Indiana license is held by Mary T Ellis. The license is currently active. It was granted on 03/21/2014 and expired on 10/31/2015

LICENSE DETAILS

  • License Number: 71004857B
  • Category: CSR-Prescriptive Authority
  • Status: Active
  • Date Granted: 03/21/2014 (over 12 years ago)
  • Expiry Date: 10/31/2015 (almost 11 years ago)

LOCATIONS

A Address

North Shore Health Centers, 3207 Willowcreek Road, Portage IN 46368