KELLY A FITZGERALD Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****56

License Status

INACTIVE

Business

First Name

KELLY

Middle

Last Name

FITZGERALD

Business Name

KELLY A FITZGERALD

Original Issue Date

03/05/2012

Effective Date

09/01/2022

Expiration Date

05/31/2024

City

CHICAGO

State

Zip

60640

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/03/2024