AGNES L BRACKENHOFF Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041017692

License Status

NOT RENEWED

Business

First Name

AGNES L

Last Name

BRACKENHOFF

Business Name

AGNES L BRACKENHOFF

Original Issue Date

02/05/1929

Effective Date

02/05/1929

City

NOKOMIS

State

Zip

62075

County

MONTGOMERY

Ever Disciplined

LastModifiedDate

09/27/2006