KELLY BLANCHE ALLEN 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

KELLY

Middle

BLANCHE

Last Name

ALLEN

Business Name

KELLY BLANCHE ALLEN

Original Issue Date

06/12/2023

Effective Date

05/06/2024

Expiration Date

05/31/2026

City

OAK BROOK

State

Zip

60523

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026