DIANA K BRUNNER Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041186596

License Status

INACTIVE

Business

First Name

DIANA K

Last Name

BRUNNER

Business Name

DIANA K BRUNNER

Original Issue Date

01/10/1979

Effective Date

01/10/1979

Expiration Date

05/31/1988

City

FORT WAYNE

State

Zip

46825

County

INDIANA

Ever Disciplined

LastModifiedDate

09/27/2006