CHASITY L BUNGARD Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043100478

License Status

NOT RENEWED

Business

First Name

CHASITY

Middle

Last Name

BUNGARD

Business Name

CHASITY L BUNGARD

Original Issue Date

09/29/2005

Effective Date

11/03/2006

Expiration Date

01/31/2009

City

PONTIAC

State

Zip

61764

County

LIVINGSTON

Ever Disciplined

LastModifiedDate

03/17/2009