KELLY L NEPHEW Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****09

License Status

INACTIVE

Business

First Name

KELLY

Middle

Last Name

NEPHEW

Business Name

KELLY L NEPHEW

Original Issue Date

05/03/2024

Effective Date

05/03/2024

Expiration Date

05/31/2026

City

DES PLAINES

State

Zip

60018

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/26/2025