KELLY ANN TONIELLI DAVIS Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209015585

License Status

INACTIVE

Business

First Name

KELLY

Middle

ANN TONIELLI

Last Name

DAVIS

Business Name

KELLY ANN TONIELLI DAVIS

Original Issue Date

02/07/2017

Effective Date

04/16/2018

Expiration Date

09/30/2020

City

TROY GROVE

State

Zip

61372

Ever Disciplined

LastModifiedDate

04/16/2018