KELLSEY R THOLE Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****01

License Status

ACTIVE

Business

First Name

KELLSEY

Middle

Last Name

THOLE

Business Name

KELLSEY R THOLE

Original Issue Date

03/27/2017

Effective Date

05/28/2024

Expiration Date

05/31/2026

City

O'FALLON

State

Zip

62269

County

SAINT CLAIR

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026