MAXINE BROCKMAN - Registered Nurse License in Illinois | # 043038350

MAXINE BROCKMAN

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043038350

License Status

INACTIVE

Business

N

First Name

MAXINE

Last Name

BROCKMAN

Business Name

MAXINE BROCKMAN

Original Issue Date

01/06/1976

Expiration Date

01/31/1989

State

IL

Ever Disciplined

N

LastModifiedDate

10/21/2005