LORI L ELLIS Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209015226

License Status

INACTIVE

Business

First Name

LORI

Middle

Last Name

ELLIS

Business Name

LORI L ELLIS

Original Issue Date

12/02/2016

Effective Date

09/01/2020

Expiration Date

05/31/2022

City

MORRIS

State

Zip

60450

County

GRUNDY

Ever Disciplined

LastModifiedDate

09/01/2020