AMY MARIE SURBURG Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****17

License Status

NOT RENEWED

Business

First Name

AMY

Middle

MARIE

Last Name

SURBURG

Business Name

AMY MARIE SURBURG

Original Issue Date

10/29/2013

Effective Date

03/01/2018

Expiration Date

09/30/2020

City

MARION

State

Zip

62959

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

01/14/2021