SUSAN M BOSOLD Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041135578

License Status

NOT RENEWED

Business

First Name

SUSAN M

Last Name

BOSOLD

Business Name

SUSAN M BOSOLD

Original Issue Date

05/25/1970

Effective Date

05/25/1970

Expiration Date

05/31/1988

City

EAST PEORIA

State

Zip

61611

County

TAZEWELL

Ever Disciplined

LastModifiedDate

09/27/2006