KATIE C WOLLERMAN Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****88

License Status

ACTIVE

Business

First Name

KATIE

Middle

Last Name

WOLLERMAN

Business Name

KATIE C WOLLERMAN

Original Issue Date

02/20/2021

Effective Date

03/06/2026

Expiration Date

05/31/2028

City

TAYLORVILLE

State

Zip

62568

County

CHRISTIAN

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/06/2026