COLLEEN MARY BOLOTIN Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****42

License Status

ACTIVE

Business

First Name

COLLEEN

Middle

MARY

Last Name

BOLOTIN

Business Name

COLLEEN MARY BOLOTIN

Original Issue Date

02/03/2016

Effective Date

05/01/2024

Expiration Date

05/31/2026

City

ARLINGTON HEIGHTS

State

Zip

60005

County

LAKE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026