TIMOTHY J BROCKWAY - Registered Nurse License in Illinois | # 043119262

TIMOTHY J BROCKWAY

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043119262

License Status

NOT RENEWED

Business

N

First Name

TIMOTHY

Middle

J

Last Name

BROCKWAY

Business Name

TIMOTHY J BROCKWAY

Original Issue Date

08/19/2014

Effective Date

01/30/2017

Expiration Date

01/31/2019

State

IL

Ever Disciplined

N

LastModifiedDate

03/28/2019