THEODOR BROCKWAY Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041564323

License Status

ACTIVE

Business

First Name

THEODOR

Last Name

BROCKWAY

Business Name

THEODOR BROCKWAY

Original Issue Date

04/26/2024

Effective Date

04/26/2024

Expiration Date

05/31/2026

City

SHOREVIEW

State

Zip

55126

Ever Disciplined

LastModifiedDate

03/01/2026