MARILYN R BROCK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043109616

License Status

NOT RENEWED

Business

First Name

MARILYN

Middle

Last Name

BROCK

Business Name

MARILYN R BROCK

Original Issue Date

01/08/2010

Effective Date

01/14/2013

Expiration Date

01/31/2015

City

MARION

State

Zip

62959

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

03/09/2015