KELLI A DAUGHERTY Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****30

License Status

ACTIVE

Business

First Name

KELLI

Middle

Last Name

DAUGHERTY

Business Name

KELLI A DAUGHERTY

Original Issue Date

10/10/2017

Effective Date

05/17/2024

Expiration Date

05/31/2026

City

MT VERNON

State

Zip

62864

County

MACON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026