MARY A BROCK Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043057505

License Status

INACTIVE

Business

First Name

MARY A

Last Name

BROCK

Business Name

MARY A BROCK

Original Issue Date

10/11/1983

Expiration Date

01/31/1989

City

CHICAGO

State

Zip

60638

County

COOK

Ever Disciplined

LastModifiedDate

10/21/2005