MISTY DAWN BUSKOHL Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****70

License Status

ACTIVE

Business

First Name

MISTY

Middle

DAWN

Last Name

BUSKOHL

Business Name

MISTY DAWN BUSKOHL

Original Issue Date

12/30/2020

Effective Date

04/25/2024

Expiration Date

05/31/2026

City

ROCKFORD

State

Zip

61114

County

WINNEBAGO

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026