BJ BUBALA - Registered Nurse License in Idaho | # 041383059

BJ BUBALA

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041383059

License Status

NOT RENEWED

Business

N

First Name

BJ

Last Name

BUBALA

Business Name

BJ BUBALA

Original Issue Date

03/25/2010

Effective Date

05/27/2014

Expiration Date

05/31/2016

State

ID

Ever Disciplined

N

LastModifiedDate

07/11/2016