JOANNA M BUNCH Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****54

License Status

NOT RENEWED

Business

First Name

JOANNA M

Last Name

BUNCH

Business Name

JOANNA M BUNCH

Original Issue Date

08/08/2016

Effective Date

05/06/2018

Expiration Date

09/30/2020

City

PITTSFIELD

State

Zip

62363

County

PIKE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021