MA NANA BURCHULADZE - Advanced Practice Nurse License in Illinois | # 209015401

MA NANA BURCHULADZE

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209015401

License Status

INACTIVE

Business

N

First Name

MA NANA

Last Name

BURCHULADZE

Business Name

MA NANA BURCHULADZE

Original Issue Date

12/29/2016

Effective Date

06/15/2022

Expiration Date

05/31/2024

State

IL

Ever Disciplined

N

LastModifiedDate

06/15/2022