CONNIE SWENSON BROUSELL Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****29

License Status

INACTIVE

Business

First Name

CONNIE

Middle

SWENSON

Last Name

BROUSELL

Business Name

CONNIE SWENSON BROUSELL

Original Issue Date

01/13/2011

Effective Date

07/02/2020

Expiration Date

05/31/2022

City

SANDWICH

State

Zip

60548

County

DEKALB

Ever Disciplined

LastModifiedDate

07/02/2020