SANDRA J BOSOMWORTH Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043046532

License Status

NOT RENEWED

Business

First Name

SANDRA J

Last Name

BOSOMWORTH

Business Name

SANDRA J BOSOMWORTH

Original Issue Date

01/26/1979

Effective Date

01/23/2015

Expiration Date

01/31/2017

City

DECATUR

State

Zip

62521

County

MACON

Ever Disciplined

LastModifiedDate

03/27/2017