KELLY S EVANS Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****94

License Status

ACTIVE

Business

First Name

KELLY

Middle

Last Name

EVANS

Business Name

KELLY S EVANS

Original Issue Date

03/05/2019

Effective Date

04/08/2024

Expiration Date

05/31/2026

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026