KELLY ELIZABETH PETERSON Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****13

License Status

ACTIVE

Business

First Name

KELLY

Middle

ELIZABETH

Last Name

PETERSON

Business Name

KELLY ELIZABETH PETERSON

Original Issue Date

10/10/2018

Effective Date

03/24/2026

Expiration Date

05/31/2028

City

CHICAGO

State

Zip

60637

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/24/2026