JORDAN R KELLER Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****08

License Status

ACTIVE

Business

First Name

JORDAN

Middle

Last Name

KELLER

Business Name

JORDAN R KELLER

Original Issue Date

09/16/2021

Effective Date

05/30/2024

Expiration Date

05/31/2026

City

CHICAGO

State

Zip

60603

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026