KIMBERLY M BROKHAUSEN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041376083

License Status

NOT RENEWED

Business

First Name

KIMBERLY

Middle

Last Name

BROKHAUSEN

Business Name

KIMBERLY M BROKHAUSEN

Original Issue Date

06/17/2009

Effective Date

03/25/2014

Expiration Date

05/31/2016

City

ROCKFORD

State

Zip

61102

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

07/11/2016