DOMINIQUE R ELY Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209011112

License Status

ACTIVE

Business

First Name

DOMINIQUE

Middle

Last Name

ELY

Business Name

DOMINIQUE R ELY

Original Issue Date

12/13/2013

Effective Date

04/18/2024

Expiration Date

05/31/2026

City

CHAMPAIGN

State

Zip

61822

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

03/02/2026