MARLENE S BROCKMAN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041090146

License Status

NOT RENEWED

Business

First Name

MARLENE S

Last Name

BROCKMAN

Business Name

MARLENE S BROCKMAN

Original Issue Date

05/08/1958

Effective Date

04/13/2010

Expiration Date

05/31/2012

City

CONGERVILLE

State

Zip

61729

County

WOODFORD

Ever Disciplined

LastModifiedDate

07/10/2012