BONNYE M MOULTON - Registered Nurse License in Idaho | # 041130275

BONNYE M MOULTON

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041130275

License Status

NOT RENEWED

Business

N

First Name

BONNYE M

Last Name

MOULTON

Business Name

BONNYE M MOULTON

Original Issue Date

03/05/1969

Effective Date

03/05/1969

Expiration Date

05/31/1988

State

ID

Ever Disciplined

N

LastModifiedDate

09/27/2006