TONYA J BOOMGARDEN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043075214

License Status

NOT RENEWED

Business

First Name

TONYA J

Last Name

BOOMGARDEN

Business Name

TONYA J BOOMGARDEN

Original Issue Date

02/01/1994

Effective Date

11/13/2012

Expiration Date

01/31/2015

City

NORMAL

State

Zip

61761

County

MCLEAN

Ever Disciplined

LastModifiedDate

03/09/2015