KELLY CARROLL Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209011923

License Status

ACTIVE

Business

First Name

KELLY

Last Name

CARROLL

Business Name

KELLY CARROLL

Original Issue Date

09/25/2014

Effective Date

04/16/2024

Expiration Date

05/31/2026

City

SOUTH BELOIT

State

Zip

61080

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

03/02/2026