LEAH R BOON Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****56

License Status

ACTIVE

Business

First Name

LEAH

Middle

Last Name

BOON

Business Name

LEAH R BOON

Original Issue Date

04/02/2015

Effective Date

04/02/2024

Expiration Date

05/31/2026

City

PLEASANT PLAINS

State

Zip

62677

County

SANGAMON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026