CHARLES W BROCKUNIER Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041278449

License Status

NOT RENEWED

Business

First Name

CHARLES W

Last Name

BROCKUNIER

Business Name

CHARLES W BROCKUNIER

Original Issue Date

11/05/1993

Effective Date

11/05/1993

Expiration Date

05/31/1998

City

MONMOUTH

State

Zip

61462

County

WARREN

Ever Disciplined

LastModifiedDate

09/27/2006

Case Number

1995004936

Action

Revocation

Discipline Start Date

10/30/1998

Discipline Reason

Failing to comply with the terms and conditions of a previously ordered probation.