KELLY A BROLL Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041418708

License Status

NOT RENEWED

Business

First Name

KELLY

Middle

Last Name

BROLL

Business Name

KELLY A BROLL

Original Issue Date

03/07/2014

Effective Date

03/07/2014

Expiration Date

05/31/2016

City

CHICAGO

State

Zip

60622

County

COOK

Ever Disciplined

LastModifiedDate

07/11/2016