DEBORA J ELLIS Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****70

License Status

INACTIVE

Business

First Name

DEBORA

Middle

Last Name

ELLIS

Business Name

DEBORA J ELLIS

Original Issue Date

02/03/2017

Effective Date

03/16/2018

Expiration Date

09/30/2020

City

PALOS HEIGHTS

State

Zip

60463

County

COOK

Ever Disciplined

LastModifiedDate

03/08/2020