MA MILDRED T BROCKMAN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041166147

License Status

NOT RENEWED

Business

First Name

MA MILDRED T

Last Name

BROCKMAN

Business Name

MA MILDRED T BROCKMAN

Original Issue Date

03/19/1976

Effective Date

03/19/1976

Expiration Date

05/31/2006

City

WESTMONT

State

Zip

60559

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/09/2006