MARVIN LYNN BROMBAUGH Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209000576

License Status

NOT RENEWED

Business

First Name

MARVIN LYNN

Last Name

BROMBAUGH

Business Name

MARVIN LYNN BROMBAUGH

Original Issue Date

05/29/2001

Effective Date

05/06/2020

Expiration Date

08/31/2022

City

CHAMPAIGN

State

Zip

61822

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/14/2022