FAY R RUNCK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041171178

License Status

NOT RENEWED

Business

First Name

FAY R

Last Name

RUNCK

Business Name

FAY R RUNCK

Original Issue Date

11/01/1976

Effective Date

04/25/2012

Expiration Date

05/31/2014

City

SAINT JOSEPH

State

Zip

61873

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

07/03/2014