BARRY ELLIS BRECKLE JR Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209004024

License Status

INACTIVE

Business

First Name

BARRY

Middle

ELLIS

Last Name

BRECKLE

Suffix

Business Name

BARRY ELLIS BRECKLE JR

Original Issue Date

11/16/2001

Effective Date

03/20/2018

Expiration Date

09/30/2020

City

MILLSTADT

State

Zip

62260

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

03/08/2020