PAMELA S BRODT Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****69

License Status

NOT RENEWED

Business

First Name

PAMELA S

Last Name

BRODT

Business Name

PAMELA S BRODT

Original Issue Date

03/12/2012

Effective Date

03/12/2012

Expiration Date

05/31/2014

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

07/03/2014