SALLY M DEBROCKE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043028998

License Status

NOT RENEWED

Business

First Name

SALLY M

Last Name

DEBROCKE

Business Name

SALLY M DEBROCKE

Original Issue Date

08/27/1971

City

SCHILLER PARK

State

Zip

60176

County

COOK

Ever Disciplined

LastModifiedDate

10/21/2005