GWENDOLYN A BROUGH Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041343476

License Status

NOT RENEWED

Business

First Name

GWENDOLYN

Middle

Last Name

BROUGH

Business Name

GWENDOLYN A BROUGH

Original Issue Date

10/28/2004

Effective Date

10/01/2020

Expiration Date

08/31/2022

City

SALEM IL

State

Zip

62881

County

MARION

Ever Disciplined

LastModifiedDate

10/14/2022