MARY ANN HOLLENBACK Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****60

License Status

INACTIVE

Business

First Name

MARY ANN

Last Name

HOLLENBACK

Business Name

MARY ANN HOLLENBACK

Original Issue Date

04/02/2007

Effective Date

05/01/2018

Expiration Date

09/30/2020

City

OSWEGO

State

Zip

60543

County

KENDALL

Ever Disciplined

LastModifiedDate

03/08/2020