PAMELA S BRUNDAGE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043104472

License Status

NOT RENEWED

Business

First Name

PAMELA

Middle

Last Name

BRUNDAGE

Business Name

PAMELA S BRUNDAGE

Original Issue Date

10/03/2007

Effective Date

12/26/2018

Expiration Date

01/31/2021

City

SPRINGFIELD

State

Zip

62711

County

SANGAMON

Ever Disciplined

LastModifiedDate

03/11/2021