HOLLY N HOFFMAN Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****55

License Status

NOT RENEWED

Business

First Name

HOLLY

Middle

Last Name

HOFFMAN

Business Name

HOLLY N HOFFMAN

Original Issue Date

12/02/2005

Effective Date

05/12/2010

Expiration Date

05/31/2012

City

ALTON

State

Zip

62002

County

MADISON

Ever Disciplined

LastModifiedDate

07/10/2012