ANGELA BOOMSMA Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****98

License Status

INACTIVE

Business

First Name

ANGELA

Last Name

BOOMSMA

Business Name

ANGELA BOOMSMA

Original Issue Date

01/15/2015

Effective Date

05/19/2020

Expiration Date

05/31/2022

City

CHICAGO

State

Zip

60649

County

COOK

Ever Disciplined

LastModifiedDate

05/19/2020