KYLE JOSEPH HOLDER Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****05

License Status

ACTIVE

Business

First Name

KYLE

Middle

JOSEPH

Last Name

HOLDER

Business Name

KYLE JOSEPH HOLDER

Original Issue Date

10/03/2025

Effective Date

10/03/2025

Expiration Date

05/31/2026

City

ROCKFORD

State

Zip

61114

County

WINNEBAGO

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026