SAMANTHA JEAN KELLY Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209034994

License Status

ACTIVE

Business

First Name

SAMANTHA

Middle

JEAN

Last Name

KELLY

Business Name

SAMANTHA JEAN KELLY

Original Issue Date

03/12/2026

Effective Date

03/12/2026

Expiration Date

05/31/2028

City

FOREST PARK

State

Zip

60130

County

COOK

Ever Disciplined

LastModifiedDate

03/12/2026