OSIE BODDIE Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043019142

License Status

INACTIVE

Business

First Name

OSIE

Last Name

BODDIE

Business Name

OSIE BODDIE

Original Issue Date

06/06/1967

Effective Date

01/26/2001

Expiration Date

01/31/2001

City

ROCKFORD

State

Zip

61102

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/15/2005