Regina D Brockman
InactiveIllinois license 041057082
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 041057082
- Status
- Inactive
- First issued
- May 26, 1947
- Expired
- May 31, 1988
- License holder
- Regina D Brockman
- Entity type
- Individual
Classifications
- Registered Professional Nurse (Nursing Board) Nursing
More from the license record
- Current term began
- 05/26/1947
Contact
Sarona, WI 54870
Wisconsin County