KELLEY R CAMPBELL Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****74

License Status

ACTIVE

Business

First Name

KELLEY

Middle

Last Name

CAMPBELL

Business Name

KELLEY R CAMPBELL

Original Issue Date

06/13/2012

Effective Date

05/15/2024

Expiration Date

05/31/2026

City

FLORA

State

Zip

62839

County

MADISON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026