CAROL J BROADWATER Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043063244

License Status

NOT RENEWED

Business

First Name

CAROL J

Last Name

BROADWATER

Business Name

CAROL J BROADWATER

Original Issue Date

07/01/1986

Effective Date

11/09/2004

Expiration Date

01/31/2007

City

SWANSEA

State

Zip

62226

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

03/16/2007