KATHRYN M ELLIS Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****15

License Status

INACTIVE

Business

First Name

KATHRYN

Middle

Last Name

ELLIS

Business Name

KATHRYN M ELLIS

Original Issue Date

03/28/2022

Effective Date

03/21/2024

Expiration Date

05/31/2026

City

LIBERTYVILLE

State

Zip

60048

County

LAKE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/21/2024