KELLIE COLLEEN VAIDYA Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209016357

License Status

INACTIVE

Business

First Name

KELLIE

Middle

COLLEEN

Last Name

VAIDYA

Business Name

KELLIE COLLEEN VAIDYA

Original Issue Date

08/16/2017

Effective Date

05/07/2022

Expiration Date

05/31/2024

City

OAK PARK

State

Zip

60304

County

COOK

Ever Disciplined

LastModifiedDate

05/07/2022