BOMINA CHA OTTO Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209030394

License Status

ACTIVE

Business

First Name

BOMINA

Middle

CHA

Last Name

OTTO

Business Name

BOMINA CHA OTTO

Original Issue Date

08/28/2024

Effective Date

03/09/2026

Expiration Date

05/31/2028

City

CHAMPAIGN

State

Zip

61822

Ever Disciplined

LastModifiedDate

03/09/2026