DENISE L BUNGARD Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209024462

License Status

ACTIVE

Business

First Name

DENISE

Middle

Last Name

BUNGARD

Business Name

DENISE L BUNGARD

Original Issue Date

12/01/2021

Effective Date

03/24/2026

Expiration Date

05/31/2028

City

CHILLICOTHE

State

Zip

61523

County

PEORIA

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

03/24/2026