MARSHA PHYLLIS BOLL Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041155270

License Status

INACTIVE

Business

First Name

MARSHA PHYLLIS

Last Name

BOLL

Business Name

MARSHA PHYLLIS BOLL

Original Issue Date

09/11/1974

Effective Date

04/04/2012

Expiration Date

05/31/2014

City

FREEPORT

State

Zip

61032

County

STEPHENSON

Ever Disciplined

LastModifiedDate

03/06/2014