BRENDA LEE BOZARTH Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043043236

License Status

NOT RENEWED

Business

First Name

BRENDA LEE

Last Name

BOZARTH

Business Name

BRENDA LEE BOZARTH

Original Issue Date

02/14/1978

Effective Date

01/19/2017

Expiration Date

01/31/2019

City

EAST PEORIA

State

Zip

61611

County

TAZEWELL

Ever Disciplined

LastModifiedDate

03/28/2019