BROOKE M LEAVENS Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043083637

License Status

NOT RENEWED

Business

First Name

BROOKE

Middle

Last Name

LEAVENS

Business Name

BROOKE M LEAVENS

Original Issue Date

04/21/1999

Effective Date

03/04/2003

Expiration Date

01/31/2003

City

GRAYVILLE

State

Zip

62844

County

WHITE

Ever Disciplined

LastModifiedDate

10/15/2005