DAVID A TRUCKENBROD Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041459544

License Status

NOT RENEWED

Business

First Name

DAVID

Middle

Last Name

TRUCKENBROD

Business Name

DAVID A TRUCKENBROD

Original Issue Date

10/25/2017

Effective Date

05/09/2018

Expiration Date

09/30/2020

City

DIXON

State

Zip

61021

Ever Disciplined

LastModifiedDate

01/14/2021