LESLIE A KELLY Advanced Practice Nurse License verification

Business Entity

INOPERATIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****49

License Status

INOPERATIVE

Business

First Name

LESLIE A

Last Name

KELLY

Business Name

LESLIE A KELLY

Original Issue Date

08/20/2015

Effective Date

05/03/2016

Expiration Date

05/31/2018

City

EVERGREEN PARK

State

Zip

60805

County

COOK

Ever Disciplined

LastModifiedDate

03/01/2018