KELLY JO FOGELMARK Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041341345

License Status

ACTIVE

Business

First Name

KELLY

Middle

Last Name

FOGELMARK

Business Name

KELLY JO FOGELMARK

Original Issue Date

07/29/2004

Effective Date

06/19/2024

Expiration Date

05/31/2026

City

CHILLICOTHE

State

Zip

61523

County

PEORIA

Ever Disciplined

LastModifiedDate

02/28/2026