MIRAGENE BROSSEAU Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209005746

License Status

NOT RENEWED

Business

First Name

MIRAGENE

Last Name

BROSSEAU

Business Name

MIRAGENE BROSSEAU

Original Issue Date

10/07/2005

Effective Date

05/04/2020

Expiration Date

08/31/2022

City

BOURBONNAIS

State

Zip

60914

County

IROQUOIS

Ever Disciplined

LastModifiedDate

10/14/2022