VIVIAN ANNETTE BREAZEDE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041345777

License Status

NOT RENEWED

Business

First Name

VIVIAN

Middle

ANNETTE

Last Name

BREAZEDE

Business Name

VIVIAN ANNETTE BREAZEDE

Original Issue Date

04/13/2005

Effective Date

04/13/2005

Expiration Date

05/31/2006

City

PHILADELPHIA

State

Zip

39350

County

MISSISSIPPI

Ever Disciplined

LastModifiedDate

10/09/2006