DAISY M BREITBARTH Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043123203

License Status

NOT RENEWED

Business

First Name

DAISY

Middle

Last Name

BREITBARTH

Business Name

DAISY M BREITBARTH

Original Issue Date

10/04/2016

Effective Date

01/11/2021

Expiration Date

01/31/2023

City

PEORIA HEIGHTS

State

Zip

61616

Ever Disciplined

LastModifiedDate

03/31/2023