JAN M BROAD Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041323759

License Status

NOT RENEWED

Business

First Name

JAN

Middle

Last Name

BROAD

Business Name

JAN M BROAD

Original Issue Date

03/20/2001

Effective Date

03/20/2001

Expiration Date

05/31/2006

City

SUPERIOR

State

Zip

54880

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/09/2006