EDWIN THOMAS BULLOCH
Nursing - Aprn Crna
Maine RNA103013 Failed to Renew
This Maine license was held by EDWIN THOMAS BULLOCH. The license is no longer active. It was granted on 06/11/2010 and expired on 04/05/2012
LICENSE DETAILS
- License Number: RNA103013
- Category: APRN-CRNA
- Status: Failed to Renew
- Date Granted: 06/11/2010 (about 16 years ago)
- Expiry Date: 04/05/2012 (over 14 years ago)
LOCATIONS
A Mailing Address
21 EVERGREEN DR, HAMPDEN, ME 04444-1410