LINDA G BOULWARE Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****98

License Status

ACTIVE

Business

First Name

LINDA

Middle

Last Name

BOULWARE

Business Name

LINDA G BOULWARE

Original Issue Date

03/26/2025

Effective Date

03/26/2025

Expiration Date

05/31/2026

City

MOUNT VERNON

State

Zip

62864

County

JEFFERSON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026