KELLI EVANS Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****11

License Status

NOT RENEWED

Business

First Name

KELLI

Last Name

EVANS

Business Name

KELLI EVANS

Original Issue Date

01/08/2019

Effective Date

01/08/2019

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60649

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021