KELLY MCKISSICK 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

KELLY

Last Name

MCKISSICK

Business Name

KELLY MCKISSICK

Original Issue Date

09/03/2023

Effective Date

03/09/2026

Expiration Date

05/31/2028

City

CHICAGO

State

Zip

60612

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/09/2026