TIMBOLIN D HOLMES Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****47

License Status

INACTIVE

Business

First Name

TIMBOLIN D

Last Name

HOLMES

Business Name

TIMBOLIN D HOLMES

Original Issue Date

09/19/2011

Effective Date

03/13/2018

Expiration Date

09/30/2020

City

BOLINGBROOK

State

Zip

60440

County

WILL

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/12/2018