KELLY J RIFE 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

KELLY J

Last Name

RIFE

Business Name

KELLY J RIFE

Original Issue Date

07/17/2008

Effective Date

05/14/2024

Expiration Date

05/31/2026

City

QUINCY

State

Zip

62305

County

ADAMS

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026