BROOXIE NUTT SHUMATE Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041136300

License Status

INACTIVE

Business

First Name

BROOXIE NUTT

Last Name

SHUMATE

Business Name

BROOXIE NUTT SHUMATE

Original Issue Date

08/26/1970

Effective Date

08/26/1970

Expiration Date

05/31/2004

City

ROCKFORD

State

Zip

61114

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/09/2006