KISHA L BOWEN Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****11

License Status

ACTIVE

Business

First Name

KISHA

Middle

Last Name

BOWEN

Business Name

KISHA L BOWEN

Original Issue Date

12/15/2025

Effective Date

12/15/2025

Expiration Date

05/31/2026

City

MAYWOOD

State

Zip

60153

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026