BRUCE WAYNE BOHANON Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041307200

License Status

NOT RENEWED

Business

First Name

BRUCE

Middle

WAYNE

Last Name

BOHANON

Business Name

BRUCE WAYNE BOHANON

Original Issue Date

12/10/1997

Effective Date

12/10/1997

Expiration Date

05/31/2008

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

07/11/2008