EMILY SCHULTZ BOLL Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****14

License Status

ACTIVE

Business

First Name

EMILY

Middle

SCHULTZ

Last Name

BOLL

Business Name

EMILY SCHULTZ BOLL

Original Issue Date

10/17/2019

Effective Date

03/09/2024

Expiration Date

05/31/2026

City

MATTOON

State

Zip

61938

County

COLES

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026