THEO ANN BRANDEL Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041086288

License Status

NOT RENEWED

Business

First Name

THEO ANN

Last Name

BRANDEL

Business Name

THEO ANN BRANDEL

Original Issue Date

12/26/1956

Effective Date

05/22/2012

Expiration Date

05/31/2014

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

07/03/2014