ELLIE L BULLIS Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****88

License Status

ACTIVE

Business

First Name

ELLIE

Middle

Last Name

BULLIS

Business Name

ELLIE L BULLIS

Original Issue Date

12/12/2024

Effective Date

12/12/2024

Expiration Date

05/31/2026

City

CORDOVA

State

Zip

61242

County

ROCK ISLAND

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026