PAULA RAE BROTTMAN Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****63

License Status

NOT RENEWED

Business

First Name

PAULA RAE

Last Name

BROTTMAN

Business Name

PAULA RAE BROTTMAN

Original Issue Date

06/07/2005

Effective Date

05/08/2012

Expiration Date

05/31/2014

City

BARRINGTON

State

Zip

60010

County

LAKE

Ever Disciplined

LastModifiedDate

07/03/2014