TINA M BULLOCKS - Registered Nurse License in Illinois | # 043048189

TINA M BULLOCKS

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043048189

License Status

INACTIVE

Business

N

First Name

TINA M

Last Name

BULLOCKS

Business Name

TINA M BULLOCKS

Original Issue Date

01/07/1980

Expiration Date

01/31/1989

State

IL

Ever Disciplined

N

LastModifiedDate

10/21/2005