MAXINE BODAMER Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043003295

License Status

NOT RENEWED

Business

First Name

MAXINE

Last Name

BODAMER

Business Name

MAXINE BODAMER

Original Issue Date

04/01/1953

Expiration Date

01/31/1993

City

SULLIVAN

State

Zip

61951

County

MOULTRIE

Ever Disciplined

LastModifiedDate

10/21/2005