DEBORA J ELLIS Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209015428

License Status

INACTIVE

Business

First Name

DEBORA

Middle

Last Name

ELLIS

Business Name

DEBORA J ELLIS

Original Issue Date

01/05/2017

Effective Date

03/15/2018

Expiration Date

09/30/2020

City

WESTERN SPRINGS

State

Zip

60558

County

COOK

Ever Disciplined

LastModifiedDate

03/08/2020