KATHLEEN A BORNEMAN Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041127980

License Status

INACTIVE

Business

First Name

KATHLEEN A

Last Name

BORNEMAN

Business Name

KATHLEEN A BORNEMAN

Original Issue Date

10/04/1968

Effective Date

03/19/2010

Expiration Date

05/31/2012

City

MORTON

State

Zip

61550

County

TAZEWELL

Ever Disciplined

LastModifiedDate

03/08/2012