WILLIAM THOMAS KELLY III Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****33

License Status

ACTIVE

Business

First Name

WILLIAM

Middle

THOMAS

Last Name

KELLY

Suffix

III

Business Name

WILLIAM THOMAS KELLY III

Original Issue Date

07/23/2018

Effective Date

05/30/2024

Expiration Date

05/31/2026

City

CHICAGO

State

Zip

60640

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026