MAVIS A BULLMAN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043107210

License Status

NOT RENEWED

Business

First Name

MAVIS

Middle

Last Name

BULLMAN

Business Name

MAVIS A BULLMAN

Original Issue Date

12/29/2008

Effective Date

01/31/2011

Expiration Date

01/31/2013

City

MUNSTER

State

Zip

46321

County

INDIANA

Ever Disciplined

LastModifiedDate

03/20/2013