MYAH D BULLARD Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043132712

License Status

NOT RENEWED

Business

First Name

MYAH

Middle

Last Name

BULLARD

Business Name

MYAH D BULLARD

Original Issue Date

10/31/2022

Effective Date

11/04/2022

Expiration Date

02/28/2025

City

FAIRFIELD

State

Zip

62837

County

WAYNE

Ever Disciplined

LastModifiedDate

05/08/2025