KELLY K BULLOCK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041219460

License Status

NOT RENEWED

Business

First Name

KELLY K

Last Name

BULLOCK

Business Name

KELLY K BULLOCK

Original Issue Date

11/08/1983

Effective Date

03/27/2014

Expiration Date

05/31/2016

City

SOUTH BARRINGTON

State

Zip

60010

County

LAKE

Ever Disciplined

LastModifiedDate

07/11/2016