KELLY MARIE PANTAZO Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209020662

License Status

ACTIVE

Business

First Name

KELLY

Middle

MARIE

Last Name

PANTAZO

Business Name

KELLY MARIE PANTAZO

Original Issue Date

12/27/2019

Effective Date

05/23/2024

Expiration Date

05/31/2026

City

ST LOUIS

State

Zip

63129

Ever Disciplined

LastModifiedDate

03/02/2026