KELLI EAGAN Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****04

License Status

ACTIVE

Business

First Name

KELLI

Last Name

EAGAN

Business Name

KELLI EAGAN

Original Issue Date

12/10/2020

Effective Date

03/13/2024

Expiration Date

05/31/2026

City

QUINCY

State

Zip

62301

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026