KELSI D CUNNINGHAM Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****53

License Status

ACTIVE

Business

First Name

KELSI

Middle

Last Name

CUNNINGHAM

Business Name

KELSI D CUNNINGHAM

Original Issue Date

11/15/2017

Effective Date

04/17/2024

Expiration Date

05/31/2026

City

MACOMB

State

Zip

61455

County

MASON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026