ANGELA BOOMSMA Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****01

License Status

INACTIVE

Business

First Name

ANGELA

Last Name

BOOMSMA

Business Name

ANGELA BOOMSMA

Original Issue Date

11/18/2021

Effective Date

11/18/2021

Expiration Date

05/31/2022

City

EVERGREEN PARK

State

Zip

60805

Ever Disciplined

LastModifiedDate

11/18/2021