MAXINE BROCKMAN Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043038350

License Status

INACTIVE

Business

First Name

MAXINE

Last Name

BROCKMAN

Business Name

MAXINE BROCKMAN

Original Issue Date

01/06/1976

Expiration Date

01/31/1989

City

MARSEILLES

State

Zip

61341

County

LA SALLE

Ever Disciplined

LastModifiedDate

10/21/2005