BRENDA L ELLINGSON Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****88

License Status

INACTIVE

Business

First Name

BRENDA

Middle

Last Name

ELLINGSON

Business Name

BRENDA L ELLINGSON

Original Issue Date

02/19/2002

Effective Date

04/03/2018

Expiration Date

09/30/2020

City

QUINCY

State

Zip

62301

County

ADAMS

Ever Disciplined

LastModifiedDate

03/08/2020