GENEVA MAE BLOODWORTH - Registered Nurse License in Illinois | # 043051428

GENEVA MAE BLOODWORTH

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043051428

License Status

NOT RENEWED

Business

N

First Name

GENEVA MAE

Last Name

BLOODWORTH

Business Name

GENEVA MAE BLOODWORTH

Original Issue Date

01/08/1981

Effective Date

03/04/2003

Expiration Date

01/31/2003

State

IL

Ever Disciplined

N

LastModifiedDate

10/15/2005