TIBESSA TIFFANY LAWRENCE ELLIS Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209012097

License Status

INACTIVE

Business

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

City

OAK PARK

State

Zip

60302

Ever Disciplined

LastModifiedDate

03/03/2024