LAUREL TOLENE BROOM - Registered Nurse License in Illinois | # 041170936

LAUREL TOLENE BROOM

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041170936

License Status

NOT RENEWED

Business

N

First Name

LAUREL TOLENE

Last Name

BROOM

Business Name

LAUREL TOLENE BROOM

Original Issue Date

11/01/1976

Effective Date

11/01/1976

Expiration Date

05/31/1986

State

IL

Ever Disciplined

N

LastModifiedDate

09/27/2006