THEDA BOLL Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043007862

License Status

NOT RENEWED

Business

First Name

THEDA

Last Name

BOLL

Business Name

THEDA BOLL

Original Issue Date

02/10/1958

Expiration Date

01/31/1997

City

QUINCY

State

Zip

62301

County

ADAMS

Ever Disciplined

LastModifiedDate

10/21/2005