JENNIFER J ELLISON Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****04

License Status

ACTIVE

Business

First Name

JENNIFER

Middle

Last Name

ELLISON

Business Name

JENNIFER J ELLISON

Original Issue Date

07/29/2016

Effective Date

03/17/2026

Expiration Date

05/31/2028

City

SPRINGFIELD

State

Zip

62711

County

SANGAMON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/17/2026