MILLIE F BROUCEK Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041135591

License Status

INACTIVE

Business

First Name

MILLIE F

Last Name

BROUCEK

Business Name

MILLIE F BROUCEK

Original Issue Date

06/03/1970

Effective Date

06/03/1970

Expiration Date

05/31/1998

City

ROCKFORD

State

Zip

61111

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

09/27/2006