KELLY H COLLINS Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****21

License Status

ACTIVE

Business

First Name

KELLY

Middle

Last Name

COLLINS

Business Name

KELLY H COLLINS

Original Issue Date

08/02/2020

Effective Date

05/04/2024

Expiration Date

05/31/2026

City

CHICAGO

State

Zip

60607

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026