SUSAN K BOEHM Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043077479

License Status

NOT RENEWED

Business

First Name

SUSAN K

Last Name

BOEHM

Business Name

SUSAN K BOEHM

Original Issue Date

05/20/1995

Effective Date

01/14/2023

Expiration Date

02/28/2025

City

SHELBYVILLE

State

Zip

62565

County

SHELBY

Ever Disciplined

LastModifiedDate

05/08/2025