KEVIN L KANALLAKAN Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209022018

License Status

ACTIVE

Business

First Name

KEVIN

Middle

Last Name

KANALLAKAN

Business Name

KEVIN L KANALLAKAN

Original Issue Date

09/16/2020

Effective Date

06/11/2024

Expiration Date

05/31/2026

City

GLEN CARBON

State

Zip

62034

County

MADISON

Ever Disciplined

LastModifiedDate

03/02/2026