SALLY ANN BRAKE - Registered Nurse License in Montana | # 041220732

SALLY ANN BRAKE

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041220732

License Status

NOT RENEWED

Business

N

First Name

SALLY ANN

Last Name

BRAKE

Business Name

SALLY ANN BRAKE

Original Issue Date

11/08/1983

Effective Date

11/08/1983

Expiration Date

05/31/1984

State

MT

Ever Disciplined

N

LastModifiedDate

09/27/2006