JESSICA NICOLE BOOZER Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****57

License Status

ACTIVE

Business

First Name

JESSICA

Middle

NICOLE

Last Name

BOOZER

Business Name

JESSICA NICOLE BOOZER

Original Issue Date

01/19/2021

Effective Date

03/25/2026

Expiration Date

05/31/2028

City

PITTSFIELD

State

Zip

62363

County

PIKE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/25/2026