MARY ELLEN ALLEN Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****44

License Status

ACTIVE

Business

First Name

MARY

Middle

ELLEN

Last Name

ALLEN

Business Name

MARY ELLEN ALLEN

Original Issue Date

07/19/2001

Effective Date

03/18/2026

Expiration Date

05/31/2028

City

GIBSON CITY

State

Zip

60936

County

FORD

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/18/2026