ZACHARY OLSON BURGESS Advanced Practice Nurse License verification

Business Entity

INOPERATIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****06

License Status

INOPERATIVE

Business

First Name

ZACHARY

Middle

OLSON

Last Name

BURGESS

Business Name

ZACHARY OLSON BURGESS

Original Issue Date

04/20/2015

Effective Date

03/20/2016

Expiration Date

05/31/2018

City

CHICAGO

State

Zip

60642

County

COOK

Ever Disciplined

LastModifiedDate

03/01/2018