STACYE ANNE KELLERMANN Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209017235

License Status

ACTIVE

Business

First Name

STACYE

Middle

ANNE

Last Name

KELLERMANN

Business Name

STACYE ANNE KELLERMANN

Original Issue Date

02/06/2018

Effective Date

05/20/2024

Expiration Date

05/31/2026

City

CHICAGO

State

Zip

60642

Ever Disciplined

LastModifiedDate

03/02/2026