KELLY THANH QUYNH TRAN 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 THANH

Middle

QUYNH

Last Name

TRAN

Business Name

KELLY THANH QUYNH TRAN

Original Issue Date

08/26/2015

Effective Date

03/02/2026

Expiration Date

05/31/2028

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026