DEBORA J BROCKAMP - Registered Nurse License in Illinois | # 043078243

DEBORA J BROCKAMP

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043078243

License Status

NOT RENEWED

Business

N

First Name

DEBORA

Middle

J

Last Name

BROCKAMP

Business Name

DEBORA J BROCKAMP

Original Issue Date

10/19/1995

Effective Date

03/04/2005

Expiration Date

01/31/2005

State

IL

Ever Disciplined

N

LastModifiedDate

10/15/2005