ANNETTA I BROOMFIELD Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043100167

License Status

NOT RENEWED

Business

First Name

ANNETTA

Middle

Last Name

BROOMFIELD

Business Name

ANNETTA I BROOMFIELD

Original Issue Date

08/09/2005

Effective Date

01/31/2011

Expiration Date

01/31/2013

City

SPRINGFIELD

State

Zip

62711

County

SANGAMON

Ever Disciplined

LastModifiedDate

03/20/2013