CHERYL ANN ELLIS Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****99

License Status

ACTIVE

Business

First Name

CHERYL

Middle

ANN

Last Name

ELLIS

Business Name

CHERYL ANN ELLIS

Original Issue Date

01/16/2009

Effective Date

03/12/2026

Expiration Date

05/31/2028

City

MURPHYSBORO

State

Zip

62966

County

JACKSON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/12/2026