MARDELL M BOHM - Registered Nurse License in Illinois | # 043025513

MARDELL M BOHM

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043025513

License Status

INACTIVE

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

10/15/2005