KELLI M WALL Advanced Practice Nurse License verification

Business Entity

INOPERATIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****65

License Status

INOPERATIVE

Business

First Name

KELLI

Middle

Last Name

WALL

Business Name

KELLI M WALL

Original Issue Date

12/03/2015

Effective Date

05/22/2018

Expiration Date

09/30/2020

City

JOLIET

State

Zip

60433

County

WILL

Ever Disciplined

LastModifiedDate

03/08/2020