EILEEN DERUNTZ Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043031188

License Status

INACTIVE

Business

First Name

EILEEN

Last Name

DERUNTZ

Business Name

EILEEN DERUNTZ

Original Issue Date

10/04/1972

Effective Date

11/01/2002

Expiration Date

01/31/2003

City

OAK BROOK

State

Zip

60523

County

COOK

Ever Disciplined

LastModifiedDate

10/15/2005