PHILLIP JUSTIN-ALLEN BOGGS Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209030490

License Status

ACTIVE

Business

First Name

PHILLIP

Middle

JUSTIN-ALLEN

Last Name

BOGGS

Business Name

PHILLIP JUSTIN-ALLEN BOGGS

Original Issue Date

09/09/2024

Effective Date

09/09/2024

Expiration Date

05/31/2026

City

HISTORIC NEW CASTLE

State

Zip

19720

Ever Disciplined

LastModifiedDate

03/02/2026