JUDITH A BOMGAARS Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041114565

License Status

INACTIVE

Business

First Name

JUDITH

Middle

Last Name

BOMGAARS

Business Name

JUDITH A BOMGAARS

Original Issue Date

09/10/1965

Effective Date

05/10/2010

Expiration Date

05/31/2012

City

LIBERTYVILLE

State

Zip

60048

County

LAKE

Ever Disciplined

LastModifiedDate

03/08/2012