PENNI S BROCK - Registered Nurse License in Illinois | # 043051534

PENNI S BROCK

Business Entity

CANCELLED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043051534

License Status

CANCELLED

Business

N

First Name

PENNI S

Last Name

BROCK

Business Name

PENNI S BROCK

Original Issue Date

01/08/1981

Expiration Date

01/31/1985

State

IL

Ever Disciplined

N

LastModifiedDate

10/21/2005