BOONTERM HOLT Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041120925

License Status

NOT RENEWED

Business

First Name

BOONTERM

Last Name

HOLT

Business Name

BOONTERM HOLT

Original Issue Date

03/23/1967

Effective Date

03/23/1967

Expiration Date

05/01/1982

City

CHICAGO

State

Zip

60618

County

COOK

Ever Disciplined

LastModifiedDate

09/27/2006