MARY F BROCK - Registered Nurse License in Illinois | # 043070095

MARY F BROCK

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043070095

License Status

INACTIVE

Business

N

First Name

MARY F

Last Name

BROCK

Business Name

MARY F BROCK

Original Issue Date

06/13/1991

Effective Date

12/29/2010

Expiration Date

01/31/2013

State

IL

Ever Disciplined

N

LastModifiedDate

11/08/2012