KELLY M STAACK Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041475497

License Status

ACTIVE

Business

First Name

KELLY

Middle

Last Name

STAACK

Business Name

KELLY M STAACK

Original Issue Date

02/21/2019

Effective Date

05/02/2024

Expiration Date

05/31/2026

City

NEW LENOX

State

Zip

60451

Ever Disciplined

LastModifiedDate

02/28/2026