RUSSELL J BURGOYNE - Registered Nurse License in New York | # 041379896

RUSSELL J BURGOYNE

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041379896

License Status

NOT RENEWED

Business

N

First Name

RUSSELL

Middle

J

Last Name

BURGOYNE

Business Name

RUSSELL J BURGOYNE

Original Issue Date

09/17/2009

Effective Date

03/17/2010

Expiration Date

05/31/2012

State

NY

Ever Disciplined

N

LastModifiedDate

07/10/2012