THOMAS R IMBODEN Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209001511

License Status

NOT RENEWED

Business

First Name

THOMAS

Middle

Last Name

IMBODEN

Business Name

THOMAS R IMBODEN

Original Issue Date

06/21/2001

Effective Date

04/11/2012

Expiration Date

05/31/2014

City

WENTZVILLE

State

Zip

63385

County

MISSOURI

Ever Disciplined

LastModifiedDate

07/03/2014