MARK A BOOTHMAN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041269343

License Status

NOT RENEWED

Business

First Name

MARK

Middle

Last Name

BOOTHMAN

Business Name

MARK A BOOTHMAN

Original Issue Date

09/23/1992

Effective Date

09/23/1992

Expiration Date

05/31/2000

City

COLLINSVILLE

State

Zip

62234

County

MADISON

Ever Disciplined

LastModifiedDate

09/27/2006