ANGELA BOOMSMA Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209012206

License Status

INACTIVE

Business

First Name

ANGELA

Last Name

BOOMSMA

Business Name

ANGELA BOOMSMA

Original Issue Date

11/13/2014

Effective Date

05/19/2020

Expiration Date

05/31/2022

City

EVERGREEN PARK

State

Zip

60805

Ever Disciplined

LastModifiedDate

05/19/2020