HOLLY MARIE CHAPMAN Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****02

License Status

ACTIVE

Business

First Name

HOLLY

Middle

MARIE

Last Name

CHAPMAN

Business Name

HOLLY MARIE CHAPMAN

Original Issue Date

08/07/2019

Effective Date

04/21/2024

Expiration Date

05/31/2026

City

MT ZION

State

Zip

62549

County

MACON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026