KELLY MARIE WHITAKER Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

FULL PRACTICE AUTHORITY APRN

License Number

277000945

License Status

ACTIVE

Business

First Name

KELLY

Middle

MARIE

Last Name

WHITAKER

Business Name

KELLY MARIE WHITAKER

Original Issue Date

08/05/2020

Effective Date

03/05/2026

Expiration Date

05/31/2028

City

MASCOUTAH

State

Zip

62258

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

03/05/2026