DEBORA J BROCKAMP Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043078243

License Status

NOT RENEWED

Business

First Name

DEBORA

Middle

Last Name

BROCKAMP

Business Name

DEBORA J BROCKAMP

Original Issue Date

10/19/1995

Effective Date

03/04/2005

Expiration Date

01/31/2005

City

MORRISONVILLE

State

Zip

62546

County

CHRISTIAN

Ever Disciplined

LastModifiedDate

10/15/2005