LESLIE V BROBST Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041114557

License Status

INACTIVE

Business

First Name

LESLIE V

Last Name

BROBST

Business Name

LESLIE V BROBST

Original Issue Date

09/08/1965

Effective Date

03/20/2012

Expiration Date

05/31/2014

City

BARRINGTON

State

Zip

60010

County

LAKE

Ever Disciplined

LastModifiedDate

03/06/2014