KRISTY L DOLLINGER Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****03

License Status

ACTIVE

Business

First Name

KRISTY

Middle

Last Name

DOLLINGER

Business Name

KRISTY L DOLLINGER

Original Issue Date

12/10/2024

Effective Date

12/10/2024

Expiration Date

05/31/2026

City

BELOIT

State

Zip

53511

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026