KELLY R VAN ASSCHE Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****80

License Status

ACTIVE

Business

First Name

KELLY

Middle

Last Name

VAN ASSCHE

Business Name

KELLY R VAN ASSCHE

Original Issue Date

03/22/2016

Effective Date

03/24/2024

Expiration Date

05/31/2026

City

CADILLAC

State

Zip

49601

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026