BROCK MICHAEL ANDERSON Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041540142

License Status

NOT RENEWED

Business

First Name

BROCK

Middle

MICHAEL

Last Name

ANDERSON

Business Name

BROCK MICHAEL ANDERSON

Original Issue Date

03/24/2023

Effective Date

03/24/2023

Expiration Date

06/30/2024

City

SPRING VALLEY

State

Zip

45370

Ever Disciplined

LastModifiedDate

02/05/2025