MA NANA BURCHULADZE Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209015401

License Status

INACTIVE

Business

First Name

MA NANA

Last Name

BURCHULADZE

Business Name

MA NANA BURCHULADZE

Original Issue Date

12/29/2016

Effective Date

06/15/2022

Expiration Date

05/31/2024

City

BUFFALO GROVE

State

Zip

60089

County

COOK

Ever Disciplined

LastModifiedDate

06/15/2022