KIMBERLEY S BURGESS Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****39

License Status

INACTIVE

Business

First Name

KIMBERLEY

Middle

Last Name

BURGESS

Business Name

KIMBERLEY S BURGESS

Original Issue Date

10/01/2004

Effective Date

09/14/2020

Expiration Date

05/31/2022

City

ALTAMONT

State

Zip

62411

County

EFFINGHAM

Ever Disciplined

LastModifiedDate

09/14/2020