GENA S BROOMBAUGH Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043087088

License Status

INACTIVE

Business

First Name

GENA

Middle

Last Name

BROOMBAUGH

Business Name

GENA S BROOMBAUGH

Original Issue Date

02/06/2002

Effective Date

02/02/2015

Expiration Date

01/31/2017

City

CARTERVILLE

State

Zip

62918

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

01/31/2025