PHILLIP A BROCCARDO Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041244003

License Status

ACTIVE

Business

First Name

PHILLIP A

Last Name

BROCCARDO

Business Name

PHILLIP A BROCCARDO

Original Issue Date

10/02/1987

Effective Date

03/17/2024

Expiration Date

05/31/2026

City

SPRINGFIELD

State

Zip

62712

County

SANGAMON

Ever Disciplined

LastModifiedDate

02/28/2026