JILL MARIE ELLSWORTH Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209014068

License Status

NOT RENEWED

Business

First Name

JILL

Middle

MARIE

Last Name

ELLSWORTH

Business Name

JILL MARIE ELLSWORTH

Original Issue Date

03/14/2016

Effective Date

08/27/2022

Expiration Date

06/30/2024

City

SAINT LOUIS

State

Zip

63129

County

MISSOURI

Ever Disciplined

LastModifiedDate

02/05/2025