JENNIFER L BOOMER Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209016612

License Status

ACTIVE

Business

First Name

JENNIFER

Middle

Last Name

BOOMER

Business Name

JENNIFER L BOOMER

Original Issue Date

09/20/2017

Effective Date

03/13/2026

Expiration Date

05/31/2028

City

WINNEBAGO

State

Zip

61088

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

03/13/2026