TIBESSA TIFFANY LAWRENCE ELLIS - Advanced Practice Nurse License in Illinois | # 209012097

TIBESSA TIFFANY LAWRENCE ELLIS

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209012097

License Status

INACTIVE

Business

N

First Name

TIBESSA

Middle

TIFFANY

Last Name

LAWRENCE ELLIS

Business Name

TIBESSA TIFFANY LAWRENCE ELLIS

Original Issue Date

10/24/2014

Effective Date

05/10/2022

Expiration Date

05/31/2024

State

IL

Ever Disciplined

N

LastModifiedDate

03/03/2024