KELLY E KORN Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****68

License Status

INACTIVE

Business

First Name

KELLY

Middle

Last Name

KORN

Business Name

KELLY E KORN

Original Issue Date

08/20/2021

Effective Date

03/22/2024

Expiration Date

05/31/2026

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/15/2025