SUELLEN ELAINE BROADFIELD Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041177702

License Status

INACTIVE

Business

First Name

SUELLEN ELAINE

Last Name

BROADFIELD

Business Name

SUELLEN ELAINE BROADFIELD

Original Issue Date

10/12/1977

Effective Date

10/12/1977

Expiration Date

05/31/2004

City

ELMWOOD

State

Zip

61529

County

PEORIA

Ever Disciplined

LastModifiedDate

10/09/2006