KELSEY NICOLE FUQUA Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****84

License Status

ACTIVE

Business

First Name

KELSEY

Middle

NICOLE

Last Name

FUQUA

Business Name

KELSEY NICOLE FUQUA

Original Issue Date

11/01/2021

Effective Date

03/12/2024

Expiration Date

05/31/2026

City

PARIS

State

Zip

61944

County

EDGAR

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026