MARY ELLEN BRODHEAD Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041319520

License Status

NOT RENEWED

Business

First Name

MARY

Middle

ELLEN

Last Name

BRODHEAD

Business Name

MARY ELLEN BRODHEAD

Original Issue Date

05/15/2000

Effective Date

05/15/2000

Expiration Date

05/31/2008

City

MADISON

State

Zip

35758

County

MADISON

Ever Disciplined

LastModifiedDate

07/11/2008