PRISCILLA L BURGE - Registered Nurse License in Indiana | # 043103595

PRISCILLA L BURGE

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043103595

License Status

NOT RENEWED

Business

N

First Name

PRISCILLA

Middle

L

Last Name

BURGE

Business Name

PRISCILLA L BURGE

Original Issue Date

06/07/2007

Effective Date

02/17/2009

Expiration Date

01/31/2011

State

IN

Ever Disciplined

N

LastModifiedDate

03/10/2011