ATALEY J BOULICAULT Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041424794

License Status

INACTIVE

Business

First Name

ATALEY

Middle

Last Name

BOULICAULT

Business Name

ATALEY J BOULICAULT

Original Issue Date

09/22/2014

Effective Date

05/14/2020

Expiration Date

08/31/2022

City

MARYLAND HEIGHTS

State

Zip

63043

County

MISSOURI

Ever Disciplined

LastModifiedDate

06/01/2022