DIANE C BURGESS - Registered Nurse License in Illinois | # 043089504

DIANE C BURGESS

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043089504

License Status

NOT RENEWED

Business

N

First Name

DIANE

Middle

C

Last Name

BURGESS

Business Name

DIANE C BURGESS

Original Issue Date

01/22/2004

Effective Date

03/04/2005

Expiration Date

01/31/2005

State

IL

Ever Disciplined

N

LastModifiedDate

10/21/2005