MILDRED E BOEKHOLDER Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043045125

License Status

INACTIVE

Business

First Name

MILDRED E

Last Name

BOEKHOLDER

Business Name

MILDRED E BOEKHOLDER

Original Issue Date

01/26/1979

Expiration Date

01/31/1997

City

ROCKFORD

State

Zip

61102

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/21/2005