KELLIE ANN BROUILLARD Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041422191

License Status

NOT RENEWED

Business

First Name

KELLIE

Middle

ANN

Last Name

BROUILLARD

Business Name

KELLIE ANN BROUILLARD

Original Issue Date

07/25/2014

Effective Date

03/28/2018

Expiration Date

09/30/2020

City

COMMERCE TWP

State

Zip

48382

County

MICHIGAN

Ever Disciplined

LastModifiedDate

01/14/2021