PHYLIA I BOLLS Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****05

License Status

INACTIVE

Business

First Name

PHYLIA

Middle

Last Name

BOLLS

Business Name

PHYLIA I BOLLS

Original Issue Date

10/15/2024

Effective Date

10/15/2024

Expiration Date

05/31/2026

City

TINLEY PARK

State

Zip

60477

County

COOK

Ever Disciplined

LastModifiedDate

09/02/2025