BARRY ELLIS BRECKLE JR - Advanced Practice Nurse License in Illinois | # 209004024

BARRY ELLIS BRECKLE JR

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209004024

License Status

INACTIVE

Business

N

First Name

BARRY

Middle

ELLIS

Last Name

BRECKLE

Suffix

JR

Business Name

BARRY ELLIS BRECKLE JR

Original Issue Date

11/16/2001

Effective Date

03/20/2018

Expiration Date

09/30/2020

State

IL

Ever Disciplined

N

LastModifiedDate

03/08/2020