Shane Nathan Bruntz
ExpiredCalifornia license 624553
License
- Licensed by
- California Board of Registered Nursing
- License number
- 624553
- Status
- Expired (Delinquent)
- First issued
- August 18, 2003
- Expired
- August 31, 2015
- License holder
- Shane Nathan Bruntz
- Entity type
- Individual
Classifications
- Registered Nurse Nursing
More from the license record
- License type code
- 4001
Contact
821 Shuler Street
Elgin, IL 60123-6139
Elgin, IL 60123-6139
Kane County