JEREMY WARD BROOMBAUGH Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043100992

License Status

NOT RENEWED

Business

First Name

JEREMY

Middle

WARD

Last Name

BROOMBAUGH

Business Name

JEREMY WARD BROOMBAUGH

Original Issue Date

12/02/2005

Effective Date

11/03/2006

Expiration Date

01/31/2009

City

ANCHORAGE

State

Zip

99502

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

03/17/2009