LISA ANNETTE ELLINGWOOD Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209020407

License Status

ACTIVE

Business

First Name

LISA

Middle

ANNETTE

Last Name

ELLINGWOOD

Business Name

LISA ANNETTE ELLINGWOOD

Original Issue Date

11/06/2019

Effective Date

04/08/2024

Expiration Date

05/31/2026

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

03/02/2026