RYAN L DEBROCK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043090283

License Status

NOT RENEWED

Business

First Name

RYAN

Middle

Last Name

DEBROCK

Business Name

RYAN L DEBROCK

Original Issue Date

09/21/2004

Effective Date

01/12/2009

Expiration Date

01/31/2011

City

DEKALB

State

Zip

60115

Ever Disciplined

LastModifiedDate

03/10/2011