NIKKI LYNN BOSWELL Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****26

License Status

ACTIVE

Business

First Name

NIKKI

Middle

LYNN

Last Name

BOSWELL

Business Name

NIKKI LYNN BOSWELL

Original Issue Date

12/19/2025

Effective Date

03/02/2026

Expiration Date

05/31/2028

City

PEORIA

State

Zip

61615

County

PEORIA

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026