KATIE C WOLLERMAN Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209021453

License Status

ACTIVE

Business

First Name

KATIE

Middle

Last Name

WOLLERMAN

Business Name

KATIE C WOLLERMAN

Original Issue Date

06/19/2020

Effective Date

03/06/2026

Expiration Date

05/31/2028

City

BINGHAM

State

Zip

62011

County

FAYETTE

Ever Disciplined

LastModifiedDate

03/06/2026