KELSEY HENEBERRY Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****53

License Status

NOT RENEWED

Business

First Name

KELSEY

Last Name

HENEBERRY

Business Name

KELSEY HENEBERRY

BusinessDBA

KINSHAW

Original Issue Date

05/25/2021

Effective Date

05/24/2022

Expiration Date

06/30/2024

City

CHICAGO

State

Zip

60611

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/05/2025