JEREMY J ELLIOTT Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****37

License Status

ACTIVE

Business

First Name

JEREMY

Middle

Last Name

ELLIOTT

Business Name

JEREMY J ELLIOTT

Original Issue Date

10/26/2020

Effective Date

03/23/2026

Expiration Date

05/31/2028

City

CARROLLTON

State

Zip

62016

County

GREENE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/23/2026