JENNIFER N BROADWAY Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043102716

License Status

INACTIVE

Business

First Name

JENNIFER

Middle

Last Name

BROADWAY

Business Name

JENNIFER N BROADWAY

Original Issue Date

11/14/2006

Effective Date

11/14/2006

Expiration Date

01/31/2009

City

GOLCONDA

State

Zip

62938

Ever Disciplined

LastModifiedDate

11/10/2008