KELLY M COLE Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****35

License Status

INACTIVE

Business

First Name

KELLY

Middle

Last Name

COLE

Business Name

KELLY M COLE

Original Issue Date

05/03/2005

Effective Date

05/06/2022

Expiration Date

05/31/2024

City

PEKIN

State

Zip

61554

County

TAZEWELL

Ever Disciplined

LastModifiedDate

03/31/2023