FREDERICKA T BULLARD Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041110591

License Status

INACTIVE

Business

First Name

FREDERICKA T

Last Name

BULLARD

Business Name

FREDERICKA T BULLARD

Original Issue Date

08/28/1964

Effective Date

08/28/1964

Expiration Date

05/01/1982

City

BOLINGBROOK

State

Zip

60439

County

WILL

Ever Disciplined

LastModifiedDate

09/27/2006