TALLY L HOLLIN 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

TALLY

Middle

Last Name

HOLLIN

Business Name

TALLY L HOLLIN

Original Issue Date

08/29/2011

Effective Date

05/08/2024

Expiration Date

05/31/2026

City

DOWNERS GROVE

State

Zip

60515

County

DUPAGE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026