REGINA D BROCKMAN Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041057082

License Status

INACTIVE

Business

First Name

REGINA D

Last Name

BROCKMAN

Business Name

REGINA D BROCKMAN

Original Issue Date

05/26/1947

Effective Date

05/26/1947

Expiration Date

05/31/1988

City

SARONA

State

Zip

54870

County

WISCONSIN

Ever Disciplined

LastModifiedDate

09/27/2006