BROCK E SCOGGINS Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043121041

License Status

NOT RENEWED

Business

First Name

BROCK

Middle

Last Name

SCOGGINS

Business Name

BROCK E SCOGGINS

Original Issue Date

07/23/2015

Effective Date

07/23/2015

Expiration Date

01/31/2017

City

CARTERVILLE

State

Zip

62918

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

03/27/2017