BEVERLY BULTEMA Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041404564

License Status

NOT RENEWED

Business

First Name

BEVERLY

Last Name

BULTEMA

Business Name

BEVERLY BULTEMA

Original Issue Date

08/07/2012

Effective Date

05/18/2018

Expiration Date

09/30/2020

City

CEDAR LAKE

State

Zip

46303

County

INDIANA

Ever Disciplined

LastModifiedDate

01/14/2021