KELLY MARIE WEST Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****50

License Status

ACTIVE

Business

First Name

KELLY

Middle

MARIE

Last Name

WEST

Business Name

KELLY MARIE WEST

Original Issue Date

01/30/2017

Effective Date

03/20/2024

Expiration Date

05/31/2026

City

DECATUR

State

Zip

62526

County

MACON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026