BAMBI L BROCCO Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043079231

License Status

INACTIVE

Business

First Name

BAMBI L

Last Name

BROCCO

Business Name

BAMBI L BROCCO

Original Issue Date

05/13/1996

Effective Date

02/03/2005

Expiration Date

01/31/2005

City

CAHOKIA

State

Zip

62206

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

10/15/2005