MARY A HOLEM Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****00

License Status

ACTIVE

Business

First Name

MARY A

Last Name

HOLEM

Business Name

MARY A HOLEM

Original Issue Date

10/14/2011

Effective Date

04/14/2024

Expiration Date

05/31/2026

City

GURNEE

State

Zip

60031

County

LAKE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026