TERRY LEE BOLTON Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043044529

License Status

NOT RENEWED

Business

First Name

TERRY LEE

Last Name

BOLTON

Business Name

TERRY LEE BOLTON

Original Issue Date

06/29/1978

Expiration Date

01/31/1987

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/21/2005