PATRICIA A BRAKE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041105509

License Status

NOT RENEWED

Business

First Name

PATRICIA A

Last Name

BRAKE

Business Name

PATRICIA A BRAKE

Original Issue Date

01/30/1963

Effective Date

03/11/2008

Expiration Date

05/31/2010

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

08/16/2010