BEVERLY BULTEMA - Registered Nurse License in Indiana | # 041404564

BEVERLY BULTEMA

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041404564

License Status

NOT RENEWED

Business

N

First Name

BEVERLY

Last Name

BULTEMA

Business Name

BEVERLY BULTEMA

Original Issue Date

08/07/2012

Effective Date

05/18/2018

Expiration Date

09/30/2020

State

IN

Ever Disciplined

N

LastModifiedDate

01/14/2021