PATRICK D KELSALL Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****40

License Status

NOT RENEWED

Business

First Name

PATRICK

Middle

Last Name

KELSALL

Business Name

PATRICK D KELSALL

Original Issue Date

02/24/2014

Effective Date

05/06/2022

Expiration Date

06/30/2024

City

ALEDO

State

Zip

61231

County

MERCER

Delegated Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

02/05/2025