ARIAL M BROCK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043119765

License Status

NOT RENEWED

Business

First Name

ARIAL

Middle

Last Name

BROCK

Business Name

ARIAL M BROCK

Original Issue Date

10/15/2014

Effective Date

01/05/2015

Expiration Date

01/31/2017

City

DU QUOIN

State

Zip

62832

County

PERRY

Ever Disciplined

LastModifiedDate

03/27/2017