HEIDI J BRUMBAUGH Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043087655

License Status

NOT RENEWED

Business

First Name

HEIDI

Middle

Last Name

BRUMBAUGH

Business Name

HEIDI J BRUMBAUGH

Original Issue Date

09/13/2002

Effective Date

03/04/2005

Expiration Date

01/31/2005

City

GENESEO

State

Zip

61254

Ever Disciplined

LastModifiedDate

10/15/2005