MARY F BROCK Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043070095

License Status

INACTIVE

Business

First Name

MARY F

Last Name

BROCK

Business Name

MARY F BROCK

Original Issue Date

06/13/1991

Effective Date

12/29/2010

Expiration Date

01/31/2013

City

GRANITE CITY

State

Zip

62040

County

MADISON

Ever Disciplined

LastModifiedDate

11/08/2012