CYNTHIA BETH KELLING Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****99

License Status

ACTIVE

Business

First Name

CYNTHIA

Middle

BETH

Last Name

KELLING

Business Name

CYNTHIA BETH KELLING

Original Issue Date

08/17/2016

Effective Date

03/06/2026

Expiration Date

05/31/2028

City

ROCKFORD

State

Zip

61104

County

WINNEBAGO

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/06/2026