DONNA MICHELE BORK - Registered Nurse License in Georgia | # 041339341

DONNA MICHELE BORK

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041339341

License Status

NOT RENEWED

Business

N

First Name

DONNA

Middle

MICHELE

Last Name

BORK

Business Name

DONNA MICHELE BORK

Original Issue Date

03/04/2004

Effective Date

03/04/2004

Expiration Date

05/31/2006

State

GA

Ever Disciplined

N

LastModifiedDate

10/09/2006