MARIA E BULLOCK Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****66

License Status

NOT RENEWED

Business

First Name

MARIA

Middle

Last Name

BULLOCK

Business Name

MARIA E BULLOCK

Original Issue Date

12/07/2010

Effective Date

12/07/2010

Expiration Date

05/31/2012

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

07/10/2012