DOROTHY L BURGESS Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****77

License Status

NOT RENEWED

Business

First Name

DOROTHY L

Last Name

BURGESS

Business Name

DOROTHY L BURGESS

Original Issue Date

07/26/2001

Effective Date

07/26/2001

Expiration Date

05/31/2004

City

GLEN ELLYN

State

Zip

60137

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/09/2006