HOLLY A HART Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041378696

License Status

NOT RENEWED

Business

First Name

HOLLY

Middle

Last Name

HART

Business Name

HOLLY A HART

Original Issue Date

08/11/2009

Effective Date

04/13/2010

Expiration Date

05/31/2012

City

CHAMPAIGN

State

Zip

61821

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

07/10/2012