JEREMY C HOLLINGSEAD Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****66

License Status

ACTIVE

Business

First Name

JEREMY

Middle

Last Name

HOLLINGSEAD

Business Name

JEREMY C HOLLINGSEAD

Original Issue Date

02/22/2022

Effective Date

03/07/2024

Expiration Date

05/31/2026

City

SPRINGFIELD

State

Zip

62712

County

SANGAMON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026