LORI L ELLIS

Business Entity
ACTIVE

Advanced Practice Nurse

FULL PRACTICE AUTHORITY APRN CONTROL SUB

37*****22

ACTIVE

N

LORI

L

ELLIS

LORI L ELLIS

08/31/2021

04/02/2024

05/31/2026

MORRIS

IL

60450

GRUNDY

N

03/02/2026