KELSEY E CASOLARI Advanced Practice Nurse License verification

Business Entity

INOPERATIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****27

License Status

INOPERATIVE

Business

First Name

KELSEY

Middle

Last Name

CASOLARI

Business Name

KELSEY E CASOLARI

Original Issue Date

04/28/2020

Effective Date

04/28/2020

Expiration Date

05/31/2022

City

EAST PEORIA

State

Zip

61611

County

TAZEWELL

Ever Disciplined

LastModifiedDate

05/02/2022