MARY R BROCKHOUSE Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041121829

License Status

INACTIVE

Business

First Name

MARY R

Last Name

BROCKHOUSE

Business Name

MARY R BROCKHOUSE

Original Issue Date

08/21/1967

Effective Date

09/28/2020

Expiration Date

08/31/2022

City

CHAPIN

State

Zip

62628

County

MORGAN

Ever Disciplined

LastModifiedDate

05/06/2022