HOLLEY ROBERTSON HARRIS Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****61

License Status

ACTIVE

Business

First Name

HOLLEY

Middle

ROBERTSON

Last Name

HARRIS

Business Name

HOLLEY ROBERTSON HARRIS

Original Issue Date

05/23/2014

Effective Date

05/12/2024

Expiration Date

05/31/2026

City

OSWEGO

State

Zip

60543

County

KENDALL

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026