LAUREL JEAN BULTEMA - Registered Nurse License in Tennessee | # 041183525

LAUREL JEAN BULTEMA

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041183525

License Status

NOT RENEWED

Business

N

First Name

LAUREL JEAN

Last Name

BULTEMA

Business Name

LAUREL JEAN BULTEMA

Original Issue Date

10/16/1978

Effective Date

10/16/1978

Expiration Date

05/01/1982

State

TN

Ever Disciplined

N

LastModifiedDate

09/27/2006