KELLY D STOUT Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209034209

License Status

ACTIVE

Business

First Name

KELLY

Middle

Last Name

STOUT

Business Name

KELLY D STOUT

Original Issue Date

12/18/2025

Effective Date

03/02/2026

Expiration Date

05/31/2028

City

CROWN POINT

State

Zip

46307

Ever Disciplined

LastModifiedDate

03/02/2026