MARVIN LYNN BROMBAUGH Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041188759

License Status

NOT RENEWED

Business

First Name

MARVIN LYNN

Last Name

BROMBAUGH

Business Name

MARVIN LYNN BROMBAUGH

Original Issue Date

07/13/1979

Effective Date

05/06/2020

Expiration Date

08/31/2022

City

CHAMPAIGN

State

Zip

61821

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/14/2022