BROOKE M CHAMBLISS Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043088630

License Status

NOT RENEWED

Business

First Name

BROOKE

Middle

Last Name

CHAMBLISS

Business Name

BROOKE M CHAMBLISS

Original Issue Date

07/23/2003

Effective Date

03/04/2005

Expiration Date

01/31/2005

City

CATLIN

State

Zip

61817

County

VERMILION

Ever Disciplined

LastModifiedDate

10/21/2005