TONI C BOLLA

Business Entity
NOT RENEWED

Registered Nurse

LICENSED PRACTICAL NURSE

043079005

NOT RENEWED

N

TONI C

BOLLA

TONI C BOLLA

03/06/1996

05/18/2001

01/31/1999

WEBSTER GROVES

MO

63119

MISSOURI

Y

10/15/2005

1998012796

Suspension

05/18/2001

Diverted Demerol from Belleville Convalescent Center.