License Information
License Number
043072707Business Name
AMBER L MUNDENLicense Type
NURSING BOARDOriginal Issue Date
1992-12-23License Status
NOT RENEWEDCity
PETERSBURGState
ILCounty
MENARDPost
62675Update Date
2022-05-04Business
NEffective Date
05/20/2015Expiration Date
01/31/2017Ever Disciplined
NLastModifiedDate
03/27/2017Registered Location
Peripheral Licensees
- BRUCE A DECOURCY PETERSBURG, IL 62675
- WILLIAM J IRVINE PETERSBURG, IL 62675
- WILLIAM J IRVINE JR OD PETERSBURG, IL 62675
- TWYLLA J KRIEGEL PETERSBURG, IL 62675
- PAMELA ALBRECHT PETERSBURG, IL 62675
- MARK A BECK PETERSBURG, IL 62675
- THOMAS H BERGEN PETERSBURG, IL 62675
- DENNIS A HARRISON PETERSBURG, IL 62675
- TRISHA D NICHOLS PETERSBURG, IL 62675
- SUZANNE C ROBERTSON PETERSBURG, IL 62675