MARY A HOLEM Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****43

License Status

NOT RENEWED

Business

First Name

MARY A

Last Name

HOLEM

Business Name

MARY A HOLEM

Original Issue Date

01/12/2018

Effective Date

04/11/2018

Expiration Date

09/30/2020

City

WEST DUNDEE

State

Zip

60118

County

KANE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021