CAROLYN MARIE BURNS Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****37

License Status

NOT RENEWED

Business

First Name

CAROLYN MARIE

Last Name

BURNS

Business Name

CAROLYN MARIE BURNS

Original Issue Date

08/15/2019

Effective Date

08/15/2019

Expiration Date

09/30/2020

City

CREST HILL

State

Zip

60403

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021