KELCY MARIE CARLSON Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****75

License Status

ACTIVE

Business

First Name

KELCY

Middle

MARIE

Last Name

CARLSON

Business Name

KELCY MARIE CARLSON

Original Issue Date

09/29/2021

Effective Date

06/07/2024

Expiration Date

05/31/2026

City

OLNEY

State

Zip

62450

County

RICHLAND

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026