JOHN DAVID LUNDEBERG Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209001325

License Status

NOT RENEWED

Business

First Name

JOHN DAVID

Last Name

LUNDEBERG

Business Name

JOHN DAVID LUNDEBERG

Original Issue Date

06/20/2001

Effective Date

03/13/2018

Expiration Date

09/30/2020

City

CARBONDALE

State

Zip

62901

County

JACKSON

Ever Disciplined

LastModifiedDate

01/14/2021