THERESA M BOLEY Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****76

License Status

NOT RENEWED

Business

First Name

THERESA M

Last Name

BOLEY

Business Name

THERESA M BOLEY

Original Issue Date

06/19/2001

Effective Date

03/28/2014

Expiration Date

05/31/2016

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Ever Disciplined

LastModifiedDate

07/11/2016