JEREMY R BROCKWAY Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043135549

License Status

ACTIVE

Business

First Name

JEREMY

Middle

Last Name

BROCKWAY

Business Name

JEREMY R BROCKWAY

Original Issue Date

06/21/2024

Effective Date

01/29/2025

Expiration Date

01/31/2027

City

DAVIS JUNCTION

State

Zip

61020

Ever Disciplined

LastModifiedDate

01/29/2025