DENISE L BUNGARD Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****59

License Status

ACTIVE

Business

First Name

DENISE

Middle

Last Name

BUNGARD

Business Name

DENISE L BUNGARD

Original Issue Date

04/04/2022

Effective Date

03/24/2026

Expiration Date

05/31/2028

City

CHILLICOTHE

State

Zip

61523

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/24/2026