KELLY M DESMARAIS Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****82

License Status

ACTIVE

Business

First Name

KELLY

Middle

Last Name

DESMARAIS

Business Name

KELLY M DESMARAIS

Original Issue Date

07/30/2025

Effective Date

03/17/2026

Expiration Date

05/31/2028

City

PEORIA

State

Zip

61605

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/17/2026