KELLY MARIE WHITAKER Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

FULL PRACTICE AUTHORITY APRN CONTROL SUB

License Number

37*****28

License Status

ACTIVE

Business

First Name

KELLY

Middle

MARIE

Last Name

WHITAKER

Business Name

KELLY MARIE WHITAKER

Original Issue Date

08/05/2020

Effective Date

03/05/2026

Expiration Date

05/31/2028

City

MASCOUTAH

State

Zip

62258

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

03/05/2026