LAURA K ELLIOTT Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****75

License Status

NOT RENEWED

Business

First Name

LAURA

Middle

Last Name

ELLIOTT

Business Name

LAURA K ELLIOTT

Original Issue Date

07/17/2009

Effective Date

09/29/2020

Expiration Date

08/31/2022

City

BURR RIDGE

State

Zip

60527

County

ROCK ISLAND

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/14/2022