SULA D BRICK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041105410

License Status

NOT RENEWED

Business

First Name

SULA D

Last Name

BRICK

Business Name

SULA D BRICK

Original Issue Date

01/16/1963

Effective Date

01/16/1963

Expiration Date

05/31/2008

City

ROSCOE

State

Zip

61073

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

07/11/2008