JACQUELINE A BODE Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****13

License Status

INACTIVE

Business

First Name

JACQUELINE

Middle

Last Name

BODE

Business Name

JACQUELINE A BODE

Original Issue Date

03/14/2013

Effective Date

05/17/2022

Expiration Date

05/31/2024

City

ST JACOB

State

Zip

62281

County

MADISON

Ever Disciplined

LastModifiedDate

05/17/2022