TINA M BULLOCKS Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043048189

License Status

INACTIVE

Business

First Name

TINA M

Last Name

BULLOCKS

Business Name

TINA M BULLOCKS

Original Issue Date

01/07/1980

Expiration Date

01/31/1989

City

NORTH CHICAGO

State

Zip

60064

County

LAKE

Ever Disciplined

LastModifiedDate

10/21/2005