KELSI M RICHARD Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****52

License Status

ACTIVE

Business

First Name

KELSI

Middle

Last Name

RICHARD

Business Name

KELSI M RICHARD

Original Issue Date

01/09/2025

Effective Date

01/09/2025

Expiration Date

05/31/2026

City

PONTIAC

State

Zip

61764

County

LIVINGSTON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026