KIMBERLEY S BURGESS Advanced Practice Nurse License verification

Business Entity

CANCELLED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****20

License Status

CANCELLED

Business

First Name

KIMBERLEY

Middle

Last Name

BURGESS

Business Name

KIMBERLEY S BURGESS

Original Issue Date

11/01/2005

Effective Date

05/19/2010

Expiration Date

05/31/2012

City

ALTAMONT

State

Zip

62411

County

EFFINGHAM

Ever Disciplined

LastModifiedDate

05/17/2010