THERESA ELLEN BOSCH Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209003680

License Status

INACTIVE

Business

First Name

THERESA ELLEN

Last Name

BOSCH

Business Name

THERESA ELLEN BOSCH

Original Issue Date

08/21/2001

Effective Date

06/01/2006

Expiration Date

05/31/2008

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

06/09/2008