MARY ANN HOLLENBACK Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209006363

License Status

INACTIVE

Business

First Name

MARY ANN

Last Name

HOLLENBACK

Business Name

MARY ANN HOLLENBACK

Original Issue Date

12/06/2006

Effective Date

04/30/2018

Expiration Date

09/30/2020

City

OSWEGO

State

Zip

60543

County

KENDALL

Ever Disciplined

LastModifiedDate

03/08/2020