MARY BROADWATER Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041099953

License Status

INACTIVE

Business

First Name

MARY

Last Name

BROADWATER

Business Name

MARY BROADWATER

Original Issue Date

01/01/1997

Expiration Date

05/31/2008

City

CLAY CITY

State

Zip

62824

County

CLAY

Ever Disciplined

LastModifiedDate

03/11/2008