JAMES MARETT HOLBROOK Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****90

License Status

NOT RENEWED

Business

First Name

JAMES

Middle

MARETT

Last Name

HOLBROOK

Business Name

JAMES MARETT HOLBROOK

Original Issue Date

08/04/2017

Effective Date

04/03/2018

Expiration Date

09/30/2020

City

EVANSTON

State

Zip

60201

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021