MARY MARLENE HOLMSTROM Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****16

License Status

ACTIVE

Business

First Name

MARY

Middle

MARLENE

Last Name

HOLMSTROM

Business Name

MARY MARLENE HOLMSTROM

Original Issue Date

05/09/2023

Effective Date

05/14/2024

Expiration Date

05/31/2026

City

HINSDALE

State

Zip

60521

County

DUPAGE

Delegated Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

03/02/2026