KELLI J NEWSOME Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****25

License Status

NOT RENEWED

Business

First Name

KELLI

Middle

Last Name

NEWSOME

Business Name

KELLI J NEWSOME

Original Issue Date

05/30/2018

Effective Date

05/30/2018

Expiration Date

09/30/2020

City

HAZEL CREST

State

Zip

60429

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021