MARLYCE J BROCK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043081457

License Status

NOT RENEWED

Business

First Name

MARLYCE

Middle

Last Name

BROCK

Business Name

MARLYCE J BROCK

Original Issue Date

10/21/1997

Effective Date

01/06/2015

Expiration Date

01/31/2017

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

03/27/2017