RANDALL BLAIN BOHANON Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041457003

License Status

INACTIVE

Business

First Name

RANDALL

Middle

BLAIN

Last Name

BOHANON

Business Name

RANDALL BLAIN BOHANON

Original Issue Date

08/16/2017

Effective Date

03/06/2018

Expiration Date

09/30/2020

City

SANTA CLARA

State

Zip

84765

County

UTAH

Ever Disciplined

LastModifiedDate

03/08/2020