CLETESS M BRUNGARD Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041071362

License Status

INACTIVE

Business

First Name

CLETESS M

Last Name

BRUNGARD

Business Name

CLETESS M BRUNGARD

Original Issue Date

04/02/1952

Effective Date

04/02/1952

Expiration Date

05/31/1998

City

VANDALIA

State

Zip

62471

County

FAYETTE

Ever Disciplined

LastModifiedDate

09/27/2006