GRANT BURTIS ANDERSON - Registered Nurse License in Wisconsin | # 041279452

GRANT BURTIS ANDERSON

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041279452

License Status

NOT RENEWED

Business

N

First Name

GRANT BURTIS

Last Name

ANDERSON

Business Name

GRANT BURTIS ANDERSON

Original Issue Date

03/28/1994

Effective Date

03/28/1994

Expiration Date

05/31/1996

State

WI

Ever Disciplined

N

LastModifiedDate

09/27/2006