DETRICE MAKIEBA ALBERT ELLIS Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041526680

License Status

NOT RENEWED

Business

First Name

DETRICE

Middle

MAKIEBA

Last Name

ALBERT ELLIS

Business Name

DETRICE MAKIEBA ALBERT ELLIS

Original Issue Date

06/22/2022

Effective Date

06/22/2022

Expiration Date

06/30/2024

City

LAND O LAKES

State

Zip

34639

Ever Disciplined

LastModifiedDate

02/05/2025