HOLLY JO HENDERSON Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****90

License Status

ACTIVE

Business

First Name

HOLLY

Middle

Last Name

HENDERSON

Business Name

HOLLY JO HENDERSON

Original Issue Date

04/16/2020

Effective Date

05/02/2024

Expiration Date

05/31/2026

City

GOLDEN

State

Zip

62339

County

ADAMS

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026