SALLY ANN BRAKE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041220732

License Status

NOT RENEWED

Business

First Name

SALLY ANN

Last Name

BRAKE

Business Name

SALLY ANN BRAKE

Original Issue Date

11/08/1983

Effective Date

11/08/1983

Expiration Date

05/31/1984

City

BOZEMAN

State

Zip

59715

County

MONTANA

Ever Disciplined

LastModifiedDate

09/27/2006