KAREN R BOETTNER Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****47

License Status

NOT RENEWED

Business

First Name

KAREN

Middle

Last Name

BOETTNER

Business Name

KAREN R BOETTNER

Original Issue Date

03/05/2003

Effective Date

05/07/2022

Expiration Date

06/30/2024

City

LOVES PARK

State

Zip

61111

County

WINNEBAGO

Delegated Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

02/05/2025