AMY MICHELE ELLISON Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****55

License Status

ACTIVE

Business

First Name

AMY

Middle

MICHELE

Last Name

ELLISON

Business Name

AMY MICHELE ELLISON

Original Issue Date

08/14/2017

Effective Date

03/03/2026

Expiration Date

05/31/2028

City

CHICAGO

State

Zip

60612

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/03/2026