License Information
License Number
209022606Business Name
LINDA G BOULWARELicense Type
ADV PRACTICE NURSEOriginal Issue Date
2020-12-30License Status
ACTIVECity
KEYESPORTState
ILCounty
CLINTONPost
62253Update Date
2022-05-04Business
NEffective Date
12/30/2020Expiration Date
05/31/2022Ever Disciplined
NLastModifiedDate
12/30/2020Registered Location
Peripheral Licensees
- TAMMIE J MOLOHON KEYESPORT, IL 62253
- PATRICIA L RUBLE KEYESPORT, IL 62253
- FRANCES R HARRIS KEYESPORT, IL 62253
- DEBORAH S HARNETIAUX KEYESPORT, IL 62253
- ROSA MARIA LEIDNER KEYESPORT, IL 62253
- RUTH E BECKER KEYESPORT, IL 62253
- JANNEL A WOOD KEYESPORT, IL 62253
- AMY WILKERSON KEYESPORT, IL 62253
- LAURA M EVERHART KEYESPORT, IL 62253
- NEIL J LEDBETTER KEYESPORT, IL 62253