TIFFANY JOYCE BROCK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043102675

License Status

NOT RENEWED

Business

First Name

TIFFANY

Middle

JOYCE

Last Name

BROCK

Business Name

TIFFANY JOYCE BROCK

Original Issue Date

11/09/2006

Effective Date

05/07/2009

Expiration Date

01/31/2011

City

CHICAGO

State

Zip

60622

County

COOK

Ever Disciplined

LastModifiedDate

03/10/2011