HOLLY HARLOW SHIRLEY 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

HOLLY

Middle

HARLOW

Last Name

SHIRLEY

Business Name

HOLLY HARLOW SHIRLEY

Original Issue Date

11/07/2017

Effective Date

06/13/2024

Expiration Date

05/31/2026

City

MARYVILLE

State

Zip

62062

County

MADISON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026