KRISTIN BROCKMAN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043108163

License Status

NOT RENEWED

Business

First Name

KRISTIN

Last Name

BROCKMAN

Business Name

KRISTIN BROCKMAN

Original Issue Date

06/30/2009

Effective Date

01/04/2011

Expiration Date

01/31/2013

City

MCDONOUGH

State

Zip

30252

Ever Disciplined

LastModifiedDate

03/20/2013