NICOLE E KELLOGG 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

NICOLE

Middle

Last Name

KELLOGG

Business Name

NICOLE E KELLOGG

Original Issue Date

10/19/2022

Effective Date

03/05/2024

Expiration Date

05/31/2026

City

DEKALB

State

Zip

60115

County

DEKALB

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026