SUSAN FAIRLEY-HOLBACH Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209007359

License Status

ACTIVE

Business

First Name

SUSAN

Last Name

FAIRLEY-HOLBACH

Business Name

SUSAN FAIRLEY-HOLBACH

Original Issue Date

11/25/2008

Effective Date

03/03/2026

Expiration Date

05/31/2028

City

LINDENHURST

State

Zip

60046

Ever Disciplined

LastModifiedDate

03/03/2026