MYRA JANE BRUKETTA Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041161971

License Status

INACTIVE

Business

First Name

MYRA JANE

Last Name

BRUKETTA

Business Name

MYRA JANE BRUKETTA

Original Issue Date

10/24/1975

Effective Date

04/02/2018

Expiration Date

09/30/2020

City

TABLE GROVE

State

Zip

61482

County

FULTON

Ever Disciplined

LastModifiedDate

03/08/2020