KELLY ANN SHEPPARD Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****67

License Status

ACTIVE

Business

First Name

KELLY

Middle

ANN

Last Name

SHEPPARD

Business Name

KELLY ANN SHEPPARD

Original Issue Date

09/15/2022

Effective Date

05/14/2024

Expiration Date

05/31/2026

City

CHICAGO

State

Zip

60611

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026