ANITA STOLTZ BORMANN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041152493

License Status

NOT RENEWED

Business

First Name

ANITA STOLTZ

Last Name

BORMANN

Business Name

ANITA STOLTZ BORMANN

Original Issue Date

10/23/1973

Effective Date

10/23/1973

Expiration Date

05/31/1996

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

09/27/2006