ANGELINE LUCILLE BRECHLIN Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****93

License Status

INACTIVE

Business

First Name

ANGELINE LUCILLE

Last Name

BRECHLIN

Business Name

ANGELINE LUCILLE BRECHLIN

Original Issue Date

05/13/2003

Effective Date

04/21/2020

Expiration Date

05/31/2022

City

ROCKFORD

State

Zip

61104

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

04/21/2020