ZACHARY R RUNDE Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****09

License Status

ACTIVE

Business

First Name

ZACHARY

Middle

Last Name

RUNDE

Business Name

ZACHARY R RUNDE

Original Issue Date

09/12/2016

Effective Date

03/13/2024

Expiration Date

05/31/2026

City

PORTLAND

State

Zip

97232

County

ROCK ISLAND

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026