AGNES K BOEHNING Advanced Practice Nurse License verification

Business Entity

INOPERATIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****03

License Status

INOPERATIVE

Business

First Name

AGNES

Middle

Last Name

BOEHNING

Business Name

AGNES K BOEHNING

Original Issue Date

07/25/2001

Effective Date

05/03/2018

Expiration Date

09/30/2020

City

MOUNT VERNON

State

Zip

62864

County

JEFFERSON

Ever Disciplined

LastModifiedDate

03/08/2020