MATTHEW KELSEY WELLS Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****22

License Status

INACTIVE

Business

First Name

MATTHEW

Middle

KELSEY

Last Name

WELLS

Business Name

MATTHEW KELSEY WELLS

Original Issue Date

08/13/2024

Effective Date

08/13/2024

Expiration Date

05/31/2026

City

QUINCY

State

Zip

62301

Delegated Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

12/05/2024