CHRISTINA MARIE KELLY Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****70

License Status

ACTIVE

Business

First Name

CHRISTINA

Middle

MARIE

Last Name

KELLY

Business Name

CHRISTINA MARIE KELLY

Original Issue Date

05/08/2020

Effective Date

03/12/2024

Expiration Date

05/31/2026

City

MACOMB

State

Zip

61455

County

MCDONOUGH

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026