REBECCA K BOLIVAR Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043087670

License Status

INACTIVE

Business

First Name

REBECCA

Middle

Last Name

BOLIVAR

Business Name

REBECCA K BOLIVAR

Original Issue Date

09/17/2002

Effective Date

12/15/2004

Expiration Date

01/31/2005

City

HAMPSHIRE

State

Zip

60140

County

KANE

Ever Disciplined

LastModifiedDate

10/15/2005