MARIBETH BULTEMA Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041191770

License Status

INACTIVE

Business

First Name

MARIBETH

Last Name

BULTEMA

Business Name

MARIBETH BULTEMA

Original Issue Date

10/17/1979

Effective Date

10/17/1979

Expiration Date

05/01/1982

City

DYER

State

Zip

46311

County

INDIANA

Ever Disciplined

LastModifiedDate

09/27/2006