ANNA M BOMKAMP Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041438627

License Status

NOT RENEWED

Business

First Name

ANNA

Middle

Last Name

BOMKAMP

Business Name

ANNA M BOMKAMP

Original Issue Date

02/19/2016

Effective Date

09/30/2020

Expiration Date

08/31/2022

City

ROCKFORD

State

Zip

61114

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/14/2022