LARRY M BOEHLKE Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****63

License Status

NOT RENEWED

Business

First Name

LARRY M

Last Name

BOEHLKE

Business Name

LARRY M BOEHLKE

Original Issue Date

08/01/2001

Effective Date

03/20/2014

Expiration Date

05/31/2016

City

CHICAGO

State

Zip

60660

County

COOK

Ever Disciplined

LastModifiedDate

07/11/2016