KATELYN M KELLER Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****27

License Status

ACTIVE

Business

First Name

KATELYN

Middle

Last Name

KELLER

Business Name

KATELYN M KELLER

Original Issue Date

10/11/2023

Effective Date

05/18/2024

Expiration Date

05/31/2026

City

MT ZION

State

Zip

62549

County

MACON

Delegated Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

03/02/2026