GAIL ANN KELLBERG Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****90

License Status

ACTIVE

Business

First Name

GAIL ANN

Last Name

KELLBERG

Business Name

GAIL ANN KELLBERG

Original Issue Date

10/06/2005

Effective Date

05/03/2024

Expiration Date

05/31/2026

City

PARK RIDGE

State

Zip

60068

County

COOK

Delegated Controlled Substance Schedule

II III

Ever Disciplined

LastModifiedDate

03/02/2026