KELLY A MARTIN Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****84

License Status

INACTIVE

Business

First Name

KELLY

Middle

Last Name

MARTIN

Business Name

KELLY A MARTIN

Original Issue Date

09/24/2008

Effective Date

06/03/2024

Expiration Date

05/31/2026

City

ALTON

State

Zip

62002

County

MADISON

Ever Disciplined

LastModifiedDate

10/24/2024