JODI R BULT Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****52

License Status

NOT RENEWED

Business

First Name

JODI

Middle

Last Name

BULT

Business Name

JODI R BULT

Original Issue Date

08/05/2003

Effective Date

05/02/2014

Expiration Date

05/31/2016

City

CHICAGO

State

Zip

60601

County

COOK

Ever Disciplined

LastModifiedDate

07/11/2016