PENNI S BROCK Registered Nurse License verification

Business Entity

CANCELLED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043051534

License Status

CANCELLED

Business

First Name

PENNI S

Last Name

BROCK

Business Name

PENNI S BROCK

Original Issue Date

01/08/1981

Expiration Date

01/31/1985

City

OLNEY

State

Zip

62450

County

RICHLAND

Ever Disciplined

LastModifiedDate

10/21/2005