ANDREA D BOWMAR Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****88

License Status

NOT RENEWED

Business

First Name

ANDREA

Middle

Last Name

BOWMAR

Business Name

ANDREA D BOWMAR

Original Issue Date

05/21/2015

Effective Date

06/02/2020

Expiration Date

08/31/2022

City

ROCKFORD

State

Zip

61114

County

WINNEBAGO

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/14/2022