PHYLLIS A BURGE - Registered Nurse License in Indiana | # 041280786

PHYLLIS A BURGE

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041280786

License Status

INACTIVE

Business

N

First Name

PHYLLIS A

Last Name

BURGE

Business Name

PHYLLIS A BURGE

Original Issue Date

04/19/1994

Effective Date

04/19/1994

Expiration Date

05/31/1996

State

IN

Ever Disciplined

N

LastModifiedDate

09/27/2006