NOLA M BRACKENBURY Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041091740

License Status

INACTIVE

Business

First Name

NOLA M

Last Name

BRACKENBURY

Business Name

NOLA M BRACKENBURY

Original Issue Date

12/01/1958

Effective Date

03/17/2010

Expiration Date

05/31/2012

City

PALOS PARK

State

Zip

60464

County

COOK

Ever Disciplined

LastModifiedDate

03/08/2012