LADY D BOWENNESHEIM Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****48

License Status

ACTIVE

Business

First Name

LADY

Middle

Last Name

BOWENNESHEIM

Business Name

LADY D BOWENNESHEIM

Original Issue Date

05/05/2015

Effective Date

03/06/2026

Expiration Date

05/31/2028

City

LAKE ZURICH

State

Zip

60047

County

LAKE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/06/2026