KELLIE ELIZABETH BIBB Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

FULL PRACTICE AUTHORITY APRN CONTROL SUB

License Number

37*****10

License Status

ACTIVE

Business

First Name

KELLIE

Middle

ELIZABETH

Last Name

BIBB

Business Name

KELLIE ELIZABETH BIBB

Original Issue Date

09/16/2019

Effective Date

03/17/2026

Expiration Date

05/31/2028

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

03/17/2026