SUE ELLYN BOLHA Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041161288

License Status

NOT RENEWED

Business

First Name

SUE ELLYN

Last Name

BOLHA

Business Name

SUE ELLYN BOLHA

Original Issue Date

09/08/1975

Effective Date

09/08/1975

Expiration Date

05/31/1994

City

ATHENS

State

Zip

62613

County

MENARD

Ever Disciplined

LastModifiedDate

09/27/2006