MARY BROADWATER - Registered Nurse License in Illinois | # 041099953

MARY BROADWATER

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041099953

License Status

INACTIVE

Business

N

First Name

MARY

Last Name

BROADWATER

Business Name

MARY BROADWATER

Original Issue Date

01/01/1997

Expiration Date

05/31/2008

State

IL

Ever Disciplined

N

LastModifiedDate

03/11/2008