JANINE C BROCK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041123764

License Status

NOT RENEWED

Business

First Name

JANINE C

Last Name

BROCK

Business Name

JANINE C BROCK

Original Issue Date

11/02/1967

Effective Date

05/18/2012

Expiration Date

05/31/2014

City

CHAMPAIGN

State

Zip

61821

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

07/03/2014