SANDRA K ELLIOTT Advanced Practice Nurse License verification

Business Entity

INOPERATIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****57

License Status

INOPERATIVE

Business

First Name

SANDRA

Middle

Last Name

ELLIOTT

Business Name

SANDRA K ELLIOTT

Original Issue Date

09/20/2001

Effective Date

05/07/2024

Expiration Date

05/31/2026

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/07/2024