KELLE DAWN MONROE Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****87

License Status

ACTIVE

Business

First Name

KELLE

Middle

DAWN

Last Name

MONROE

Business Name

KELLE DAWN MONROE

Original Issue Date

04/09/2022

Effective Date

05/22/2024

Expiration Date

05/31/2026

City

PITTSFIELD

State

Zip

62363

County

PIKE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026