DOROTHY W BRUNTJEN Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043013312

License Status

INACTIVE

Business

First Name

DOROTHY W

Last Name

BRUNTJEN

Business Name

DOROTHY W BRUNTJEN

Original Issue Date

04/14/1965

Expiration Date

01/31/1999

City

ILLIOPOLIS

State

Zip

62539

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/27/2005