ANTOINETTE ELLINGSON Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****17

License Status

ACTIVE

Business

First Name

ANTOINETTE

Last Name

ELLINGSON

Business Name

ANTOINETTE ELLINGSON

Original Issue Date

06/26/2001

Effective Date

03/03/2026

Expiration Date

05/31/2028

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/03/2026