KELLEY LOUISE ENZWEILER Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****80

License Status

NOT RENEWED

Business

First Name

KELLEY

Middle

LOUISE

Last Name

ENZWEILER

Business Name

KELLEY LOUISE ENZWEILER

Original Issue Date

10/09/2019

Effective Date

05/11/2022

Expiration Date

06/30/2024

City

EVANSTON

State

Zip

60202

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/05/2025