MA NANA BURCHULADZE Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****85

License Status

INACTIVE

Business

First Name

MA NANA

Last Name

BURCHULADZE

Business Name

MA NANA BURCHULADZE

Original Issue Date

09/19/2017

Effective Date

06/15/2022

Expiration Date

05/31/2024

City

BUFFALO GROVE

State

Zip

60089

Ever Disciplined

LastModifiedDate

06/15/2022