JACQUELINE A ELLIS Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209016890

License Status

NOT RENEWED

Business

First Name

JACQUELINE

Middle

Last Name

ELLIS

Business Name

JACQUELINE A ELLIS

Original Issue Date

11/13/2017

Effective Date

03/28/2018

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021