SUSAN M BOLYARD Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043112006

License Status

NOT RENEWED

Business

First Name

SUSAN

Middle

Last Name

BOLYARD

Business Name

SUSAN M BOLYARD

Original Issue Date

01/25/2011

Effective Date

01/22/2015

Expiration Date

01/31/2017

City

KENOSHA

State

Zip

53140

County

WISCONSIN

Ever Disciplined

LastModifiedDate

03/27/2017