KELLEN DOUGLAS BRAZEL Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043119213

License Status

NOT RENEWED

Business

First Name

KELLEN

Middle

DOUGLAS

Last Name

BRAZEL

Business Name

KELLEN DOUGLAS BRAZEL

Original Issue Date

08/12/2014

Effective Date

11/24/2014

Expiration Date

01/31/2017

City

MILFORD

State

Zip

60953

County

IROQUOIS

Ever Disciplined

LastModifiedDate

03/27/2017