MANDY L BRUNKEN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043083404

License Status

NOT RENEWED

Business

First Name

MANDY

Middle

Last Name

BRUNKEN

Business Name

MANDY L BRUNKEN

Original Issue Date

02/03/1999

Effective Date

03/04/2003

Expiration Date

01/31/2003

City

CAMBRIA

State

Zip

62915

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

10/15/2005