MADELINE ROSE ELLIS Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****72

License Status

ACTIVE

Business

First Name

MADELINE

Middle

ROSE

Last Name

ELLIS

Business Name

MADELINE ROSE ELLIS

Original Issue Date

11/01/2024

Effective Date

03/03/2026

Expiration Date

05/31/2028

City

OLD MILL CREEK

State

Zip

60083

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/03/2026