SANDRA BROADWATER Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043027132

License Status

INACTIVE

Business

First Name

SANDRA

Last Name

BROADWATER

Business Name

SANDRA BROADWATER

Original Issue Date

07/28/1970

Effective Date

01/11/2013

Expiration Date

01/31/2015

City

CHICAGO

State

Zip

60644

County

COOK

Ever Disciplined

LastModifiedDate

11/07/2014