BROOXIE NUTT SHUMATE Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209000754

License Status

INACTIVE

Business

First Name

BROOXIE NUTT

Last Name

SHUMATE

Business Name

BROOXIE NUTT SHUMATE

Original Issue Date

06/08/2001

Effective Date

06/08/2001

Expiration Date

05/31/2004

City

ROCKFORD

State

Zip

61114

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

06/09/2008