JACQUELINE A BODE Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209010317

License Status

INACTIVE

Business

First Name

JACQUELINE

Middle

Last Name

BODE

Business Name

JACQUELINE A BODE

Original Issue Date

03/14/2013

Effective Date

08/24/2020

Expiration Date

08/31/2022

City

SAINT JACOB

State

Zip

62281

County

MONTGOMERY

Ever Disciplined

LastModifiedDate

06/14/2022