KELLI M NICKOLS Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****44

License Status

ACTIVE

Business

First Name

KELLI

Middle

Last Name

NICKOLS

Business Name

KELLI M NICKOLS

Original Issue Date

09/16/2011

Effective Date

05/09/2024

Expiration Date

05/31/2026

City

FLOSSMOOR

State

Zip

60422

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026