MIRAGENE BROSSEAU Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****40

License Status

NOT RENEWED

Business

First Name

MIRAGENE

Last Name

BROSSEAU

Business Name

MIRAGENE BROSSEAU

Original Issue Date

01/06/2015

Effective Date

04/26/2016

Expiration Date

05/31/2018

City

BOURBONNAIS

State

Zip

60914

County

KANKAKEE

Ever Disciplined

LastModifiedDate

07/19/2018