SARAH A BRUNKER Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****12

License Status

NOT RENEWED

Business

First Name

SARAH

Middle

Last Name

BRUNKER

Business Name

SARAH A BRUNKER

Original Issue Date

03/30/2017

Effective Date

05/14/2018

Expiration Date

09/30/2020

City

ROCKFORD

State

Zip

61114

County

WINNEBAGO

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021