KATHRYN M BROCKMILLER Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043006292

License Status

INACTIVE

Business

First Name

KATHRYN M

Last Name

BROCKMILLER

Business Name

KATHRYN M BROCKMILLER

Original Issue Date

09/02/1954

Expiration Date

01/31/1987

City

CARLINVILLE

State

Zip

62626

County

MACOUPIN

Ever Disciplined

LastModifiedDate

10/21/2005