TIA NICOLE ELLIS Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043138008

License Status

ACTIVE

Business

First Name

TIA

Middle

NICOLE

Last Name

ELLIS

Business Name

TIA NICOLE ELLIS

Original Issue Date

08/13/2025

Effective Date

08/13/2025

Expiration Date

01/31/2027

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

08/13/2025