DAISY M BREITBARTH Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041517068

License Status

ACTIVE

Business

First Name

DAISY

Middle

Last Name

BREITBARTH

Business Name

DAISY M BREITBARTH

Original Issue Date

10/13/2021

Effective Date

05/15/2024

Expiration Date

05/31/2026

City

PEORIA HEIGHTS

State

Zip

61616

Ever Disciplined

LastModifiedDate

02/28/2026