THERESA R BRUNK Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045002614

License Status

NOT RENEWED

Business

First Name

THERESA R

Last Name

BRUNK

Business Name

THERESA R BRUNK

Original Issue Date

05/11/1999

Effective Date

01/05/2001

Expiration Date

05/11/2000

City

CENTRALIA

State

Zip

62801

County

MARION

Ever Disciplined

LastModifiedDate

05/31/2005