JENNIFER A HOLCOMB Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****97

License Status

NOT RENEWED

Business

First Name

JENNIFER

Middle

Last Name

HOLCOMB

Business Name

JENNIFER A HOLCOMB

Original Issue Date

11/17/2016

Effective Date

03/25/2018

Expiration Date

09/30/2020

City

PITTSFIELD

State

Zip

62363

County

PIKE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021