KELSEY K PARK 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

KELSEY

Middle

Last Name

PARK

Business Name

KELSEY K PARK

Original Issue Date

08/13/2024

Effective Date

03/02/2026

Expiration Date

05/31/2028

City

ROBINSON

State

Zip

62454

County

CRAWFORD

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026