ELAINE L BURCHAM Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****47

License Status

NOT RENEWED

Business

First Name

ELAINE L

Last Name

BURCHAM

Business Name

ELAINE L BURCHAM

Original Issue Date

04/08/2002

Effective Date

04/22/2014

Expiration Date

05/31/2016

City

VINCENNES

State

Zip

47591

County

INDIANA

Ever Disciplined

LastModifiedDate

07/11/2016