KELSY B WASMUTH Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****72

License Status

ACTIVE

Business

First Name

KELSY

Middle

Last Name

WASMUTH

Business Name

KELSY B WASMUTH

Original Issue Date

01/24/2019

Effective Date

04/11/2024

Expiration Date

05/31/2026

City

MARYVILLE

State

Zip

62062

County

MADISON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026