KIMBERLY A BURGESS Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****33

License Status

NOT RENEWED

Business

First Name

KIMBERLY

Middle

Last Name

BURGESS

Business Name

KIMBERLY A BURGESS

Original Issue Date

08/10/2017

Effective Date

06/24/2022

Expiration Date

06/30/2024

City

O FALLON

State

Zip

62269

County

SAINT CLAIR

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/05/2025