KELLY A MCCLINTOCK Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****04

License Status

INACTIVE

Business

First Name

KELLY

Middle

Last Name

MCCLINTOCK

Business Name

KELLY A MCCLINTOCK

Original Issue Date

01/20/2015

Effective Date

09/04/2020

Expiration Date

08/31/2022

City

MORTON GROVE

State

Zip

60053

County

COOK

Ever Disciplined

LastModifiedDate

05/02/2022