EILEEN MARIE BOETEL 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

EILEEN

Middle

MARIE

Last Name

BOETEL

Business Name

EILEEN MARIE BOETEL

Original Issue Date

08/22/2013

Effective Date

05/04/2020

Expiration Date

08/31/2022

City

LANSING

State

Zip

60438

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/14/2022