POLLY ANNE HASKINS Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****79

License Status

ACTIVE

Business

First Name

POLLY

Middle

ANNE

Last Name

HASKINS

Business Name

POLLY ANNE HASKINS

Original Issue Date

10/15/2010

Effective Date

03/05/2026

Expiration Date

05/31/2028

City

PORT BYRON

State

Zip

61275

County

ROCK ISLAND

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/05/2026