MARLENE D BROULLARD Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041244413

License Status

INACTIVE

Business

First Name

MARLENE D

Last Name

BROULLARD

Business Name

MARLENE D BROULLARD

Original Issue Date

10/02/1987

Effective Date

10/02/1987

Expiration Date

05/31/2008

City

LAKE ZURICH

State

Zip

60047

County

LAKE

Ever Disciplined

LastModifiedDate

03/11/2008