MARDELL M BOHM Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043025513

License Status

INACTIVE

Business

First Name

MARDELL M

Last Name

BOHM

Business Name

MARDELL M BOHM

Original Issue Date

10/28/1969

Effective Date

01/08/2003

Expiration Date

01/31/2003

City

PONTIAC

State

Zip

61764

County

LIVINGSTON

Ever Disciplined

LastModifiedDate

10/15/2005