MAXINE BRADLEY Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043066195

License Status

NOT RENEWED

Business

First Name

MAXINE

Last Name

BRADLEY

Business Name

MAXINE BRADLEY

Original Issue Date

10/29/1988

Effective Date

12/22/2004

Expiration Date

01/31/2007

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

03/16/2007