STEPHANIE CHRISTEN KELLY Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****01

License Status

NOT RENEWED

Business

First Name

STEPHANIE

Middle

CHRISTEN

Last Name

KELLY

Business Name

STEPHANIE CHRISTEN KELLY

Original Issue Date

07/18/2018

Effective Date

07/27/2022

Expiration Date

06/30/2024

City

EVANSTON

State

Zip

60201

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/05/2025