KELLY K GRANNIS Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****17

License Status

ACTIVE

Business

First Name

KELLY

Middle

Last Name

GRANNIS

Business Name

KELLY K GRANNIS

Original Issue Date

10/17/2019

Effective Date

03/20/2024

Expiration Date

05/31/2026

City

NORTHBROOK

State

Zip

60062

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026