MICHELLE BROETZMAN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041284723

License Status

NOT RENEWED

Business

First Name

MICHELLE

Last Name

BROETZMAN

Business Name

MICHELLE BROETZMAN

Original Issue Date

09/15/1994

Effective Date

09/15/1994

Expiration Date

05/31/2000

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Ever Disciplined

LastModifiedDate

09/27/2006