RUTH RENEE HOLLEY Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****46

License Status

NOT RENEWED

Business

First Name

RUTH

Middle

RENEE

Last Name

HOLLEY

Business Name

RUTH RENEE HOLLEY

Original Issue Date

07/25/2017

Effective Date

05/04/2022

Expiration Date

06/30/2024

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/05/2025