DEBRA R BRUNK Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****09

License Status

INACTIVE

Business

First Name

DEBRA R

Last Name

BRUNK

Business Name

DEBRA R BRUNK

Original Issue Date

02/21/2019

Effective Date

02/21/2019

Expiration Date

09/30/2020

City

EVANSTON

State

Zip

60202

County

COOK

Delegated Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

02/21/2019