CAROL SUE BROCKMAN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043045928

License Status

NOT RENEWED

Business

First Name

CAROL SUE

Last Name

BROCKMAN

Business Name

CAROL SUE BROCKMAN

Original Issue Date

01/26/1979

Expiration Date

05/01/1982

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/21/2005