MARY F BOHNE Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****61

License Status

INACTIVE

Business

First Name

MARY

Middle

Last Name

BOHNE

Business Name

MARY F BOHNE

Original Issue Date

04/06/2015

Effective Date

05/02/2024

Expiration Date

05/31/2026

City

ROCKFORD

State

Zip

61104

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/27/2024