KELLY M BROEDERDORF Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209027210

License Status

ACTIVE

Business

First Name

KELLY

Middle

Last Name

BROEDERDORF

Business Name

KELLY M BROEDERDORF

Original Issue Date

04/18/2023

Effective Date

03/18/2024

Expiration Date

05/31/2026

City

WOODSTOCK

State

Zip

60098

Ever Disciplined

LastModifiedDate

03/02/2026