BRIAN S MADRID Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041375483

License Status

NOT RENEWED

Business

First Name

BRIAN

Middle

Last Name

MADRID

Business Name

BRIAN S MADRID

Original Issue Date

05/04/2009

Effective Date

05/04/2009

Expiration Date

05/31/2010

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Ever Disciplined

LastModifiedDate

08/16/2010