KELLI C FISHER Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****80

License Status

ACTIVE

Business

First Name

KELLI C

Last Name

FISHER

Business Name

KELLI C FISHER

Original Issue Date

05/10/2018

Effective Date

03/08/2024

Expiration Date

05/31/2026

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026