KELLIE ELIZABETH BIBB Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

FULL PRACTICE AUTHORITY APRN

License Number

277000110

License Status

ACTIVE

Business

First Name

KELLIE

Middle

ELIZABETH

Last Name

BIBB

Business Name

KELLIE ELIZABETH BIBB

Original Issue Date

09/16/2019

Effective Date

03/17/2026

Expiration Date

05/31/2028

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

03/17/2026