LORRAINE B BROCK Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041107143

License Status

INACTIVE

Business

First Name

LORRAINE B

Last Name

BROCK

Business Name

LORRAINE B BROCK

Original Issue Date

09/24/1963

Effective Date

09/24/1963

Expiration Date

05/31/1990

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

09/27/2006