AGNES K BOEHNING Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209003194

License Status

NOT RENEWED

Business

First Name

AGNES

Middle

Last Name

BOEHNING

Business Name

AGNES K BOEHNING

Original Issue Date

07/18/2001

Effective Date

05/02/2018

Expiration Date

09/30/2020

City

CENTRALIA

State

Zip

62801

County

MARION

Ever Disciplined

LastModifiedDate

01/14/2021