SALLY E RUNDQUIST Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043010787

License Status

NOT RENEWED

Business

First Name

SALLY E

Last Name

RUNDQUIST

Business Name

SALLY E RUNDQUIST

Original Issue Date

09/19/1962

City

BARTONVILLE

State

Zip

61607

County

PEORIA

Ever Disciplined

LastModifiedDate

10/21/2005