TERRY DON BROCK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041500365

License Status

NOT RENEWED

Business

First Name

TERRY

Middle

DON

Last Name

BROCK

Business Name

TERRY DON BROCK

Original Issue Date

09/09/2020

Effective Date

09/09/2020

Expiration Date

08/31/2022

City

WEST CHICAGO

State

Zip

60185

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/14/2022