BROOK D CHAVEZ Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043104313

License Status

NOT RENEWED

Business

First Name

BROOK

Middle

Last Name

CHAVEZ

Business Name

BROOK D CHAVEZ

Original Issue Date

09/25/2007

Effective Date

01/06/2009

Expiration Date

01/31/2011

City

JACKSON

State

Zip

63755

Ever Disciplined

LastModifiedDate

03/10/2011