VICTORIA LYNN HAUSEN KELLY Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****64

License Status

INACTIVE

Business

First Name

VICTORIA

Middle

LYNN HAUSEN

Last Name

KELLY

Business Name

VICTORIA LYNN HAUSEN KELLY

Original Issue Date

02/16/2010

Effective Date

04/28/2024

Expiration Date

05/31/2026

City

PARK RIDGE

State

Zip

60068

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/08/2024