KATHERINE E ELLINGSON Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****45

License Status

ACTIVE

Business

First Name

KATHERINE

Middle

Last Name

ELLINGSON

Business Name

KATHERINE E ELLINGSON

Original Issue Date

10/26/2019

Effective Date

05/30/2024

Expiration Date

05/31/2026

City

PEORIA

State

Zip

61606

County

PEORIA

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026