ZACHARY OLSON BURGESS Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209011184

License Status

NOT RENEWED

Business

First Name

ZACHARY

Middle

OLSON

Last Name

BURGESS

Business Name

ZACHARY OLSON BURGESS

Original Issue Date

01/07/2014

Effective Date

03/20/2018

Expiration Date

09/30/2020

City

FOREST PARK

State

Zip

60130

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021