TAMMY J BOXLEITNER Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209003115

License Status

NOT RENEWED

Business

First Name

TAMMY

Middle

Last Name

BOXLEITNER

Business Name

TAMMY J BOXLEITNER

Original Issue Date

07/16/2001

Effective Date

05/04/2018

Expiration Date

09/30/2020

City

CALEDONIA

State

Zip

61011

County

BOONE

Ever Disciplined

LastModifiedDate

01/14/2021