TONYA ANN BOSAW Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****49

License Status

ACTIVE

Business

First Name

TONYA

Middle

ANN

Last Name

BOSAW

Business Name

TONYA ANN BOSAW

Original Issue Date

04/01/2022

Effective Date

05/10/2024

Expiration Date

05/31/2026

City

BETHALTO

State

Zip

62010

Delegated Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

03/02/2026