KATHLEEN R BOUSMAN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043029412

License Status

NOT RENEWED

Business

First Name

KATHLEEN R

Last Name

BOUSMAN

Business Name

KATHLEEN R BOUSMAN

Original Issue Date

11/03/1971

Effective Date

11/30/2010

Expiration Date

01/31/2013

City

LOMAX

State

Zip

61454

County

HENDERSON

Ever Disciplined

LastModifiedDate

03/20/2013