KELSEY KINGSBOROUGH Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****04

License Status

ACTIVE

Business

First Name

KELSEY

Last Name

KINGSBOROUGH

Business Name

KELSEY KINGSBOROUGH

Original Issue Date

08/04/2021

Effective Date

05/01/2024

Expiration Date

05/31/2026

City

OFALLON

State

Zip

63368

County

MADISON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026