HOLLY M WENTLAND Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****41

License Status

NOT RENEWED

Business

First Name

HOLLY

Middle

Last Name

WENTLAND

Business Name

HOLLY M WENTLAND

Original Issue Date

10/05/2004

Effective Date

05/22/2014

Expiration Date

05/31/2016

City

CHICAGO

State

Zip

60610

County

COOK

Ever Disciplined

LastModifiedDate

07/11/2016