COURTNEY JENNIFER BREAUX Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****90

License Status

NOT RENEWED

Business

First Name

COURTNEY

Middle

JENNIFER

Last Name

BREAUX

Business Name

COURTNEY JENNIFER BREAUX

Original Issue Date

09/25/2003

Effective Date

09/25/2003

Expiration Date

05/31/2006

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006