KATHLEEN MARY BULLOCK Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043041402

License Status

INACTIVE

Business

First Name

KATHLEEN MARY

Last Name

BULLOCK

Business Name

KATHLEEN MARY BULLOCK

Original Issue Date

02/02/1977

Effective Date

12/22/2000

Expiration Date

01/31/2001

City

OPDYKE

State

Zip

62872

County

JEFFERSON

Ever Disciplined

LastModifiedDate

10/15/2005