ELEANOR M BULLOCK Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043009414

License Status

INACTIVE

Business

First Name

ELEANOR M

Last Name

BULLOCK

Business Name

ELEANOR M BULLOCK

Original Issue Date

09/20/1960

Expiration Date

05/01/1982

City

EAST PEORIA

State

Zip

61611

County

TAZEWELL

Ever Disciplined

LastModifiedDate

10/21/2005