KELLY A GERMAN Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****37

License Status

NOT RENEWED

Business

First Name

KELLY

Middle

Last Name

GERMAN

Business Name

KELLY A GERMAN

Original Issue Date

07/28/2015

Effective Date

03/14/2018

Expiration Date

09/30/2020

City

HOFFMAN ESTATES

State

Zip

60169

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021