ELLEN A BONNER Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209004946

License Status

INACTIVE

Business

First Name

ELLEN A

Last Name

BONNER

Business Name

ELLEN A BONNER

Original Issue Date

12/15/2003

Effective Date

07/08/2022

Expiration Date

06/30/2024

City

PECATONICA

State

Zip

61063

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/27/2024