RUTH RENEE HOLLEY Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****63

License Status

ACTIVE

Business

First Name

RUTH

Middle

RENEE

Last Name

HOLLEY

Business Name

RUTH RENEE HOLLEY

Original Issue Date

05/02/2016

Effective Date

03/14/2024

Expiration Date

05/31/2026

City

SPRINGFIELD

State

Zip

62781

County

SANGAMON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026