KELLY M GUZLAS 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

KELLY

Middle

Last Name

GUZLAS

Business Name

KELLY M GUZLAS

Original Issue Date

02/13/2015

Effective Date

03/03/2026

Expiration Date

05/31/2028

City

GIBSON CITY

State

Zip

60936

County

FORD

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/03/2026