KELLY MARIE WHITAKER Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209008885

License Status

INACTIVE

Business

First Name

KELLY

Middle

MARIE

Last Name

WHITAKER

Business Name

KELLY MARIE WHITAKER

Original Issue Date

06/20/2011

Effective Date

03/08/2020

Expiration Date

05/31/2022

City

MASCOUTAH

State

Zip

62258

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

08/05/2020