BROOKIE STAPLETON Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041111639

License Status

INACTIVE

Business

First Name

BROOKIE

Last Name

STAPLETON

Business Name

BROOKIE STAPLETON

Original Issue Date

11/25/1964

Effective Date

11/25/1964

Expiration Date

05/31/2004

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Ever Disciplined

LastModifiedDate

10/09/2006