DONNA B ELLIS Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****26

License Status

NOT RENEWED

Business

First Name

DONNA B

Last Name

ELLIS

Business Name

DONNA B ELLIS

Original Issue Date

07/18/2016

Effective Date

06/21/2022

Expiration Date

06/30/2024

City

TINLEY PARK

State

Zip

60487

County

COOK

Delegated Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

02/05/2025