MARY C BOLSER Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****62

License Status

NOT RENEWED

Business

First Name

MARY

Middle

Last Name

BOLSER

Business Name

MARY C BOLSER

Original Issue Date

05/21/2001

Effective Date

03/14/2018

Expiration Date

09/30/2020

City

NORMAL

State

Zip

61761

County

JEFFERSON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021