TRISTAH RAE ROMERO-KELLY Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****13

License Status

INACTIVE

Business

First Name

TRISTAH

Middle

RAE

Last Name

ROMERO-KELLY

Business Name

TRISTAH RAE ROMERO-KELLY

Original Issue Date

03/07/2019

Effective Date

03/07/2019

Expiration Date

09/30/2020

City

GURNEE

State

Zip

60031

County

LAKE

Delegated Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

01/14/2021