BONNIE J COBURN Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****07

License Status

INACTIVE

Business

First Name

BONNIE J

Last Name

COBURN

Business Name

BONNIE J COBURN

Original Issue Date

08/08/2006

Effective Date

03/20/2018

Expiration Date

09/30/2020

City

CHAMPAIGN

State

Zip

61822

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

03/08/2020