MARILYN A BRACK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041113174

License Status

NOT RENEWED

Business

First Name

MARILYN A

Last Name

BRACK

Business Name

MARILYN A BRACK

Original Issue Date

04/01/1965

Effective Date

03/20/2012

Expiration Date

05/31/2014

City

PORTAGE

State

Zip

46368

County

INDIANA

Ever Disciplined

LastModifiedDate

07/03/2014