BONNIE LEE HERZOG Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043014920

License Status

INACTIVE

Business

First Name

BONNIE LEE

Last Name

HERZOG

Business Name

BONNIE LEE HERZOG

Original Issue Date

05/04/1966

Expiration Date

01/31/1985

City

CENTRALIA

State

Zip

62801

County

MARION

Ever Disciplined

LastModifiedDate

10/21/2005