Detrice Makieba Albert Ellis
ActiveCalifornia license 95366192
License
- Licensed by
- California Board of Registered Nursing
- License number
- 95366192
- Status
- Active (Current)
- First issued
- January 25, 2024
- Expires
- May 31, 2027
- License holder
- Detrice Makieba Albert Ellis
- Entity type
- Individual
Classifications
- Registered Nurse Nursing
More from the license record
- License type code
- 4001
Contact
4845 Gulfstream Pl
Land O Lakes, FL 34639-6131
Land O Lakes, FL 34639-6131