BREANNA LEE BONGEN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041452377

License Status

NOT RENEWED

Business

First Name

BREANNA

Middle

LEE

Last Name

BONGEN

Business Name

BREANNA LEE BONGEN

Original Issue Date

04/20/2017

Effective Date

04/20/2017

Expiration Date

05/31/2018

City

INDIANAPOLIS

State

Zip

46239

County

INDIANA

Ever Disciplined

LastModifiedDate

07/19/2018