KELLI JO ANASTASI Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****26

License Status

ACTIVE

Business

First Name

KELLI JO

Last Name

ANASTASI

Business Name

KELLI JO ANASTASI

Original Issue Date

06/02/2020

Effective Date

05/09/2024

Expiration Date

05/31/2026

City

HERRIN

State

Zip

62948

County

WILLIAMSON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026