AMANDA GAIL BURLOCK Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041338962

License Status

INACTIVE

Business

First Name

AMANDA

Middle

GAIL

Last Name

BURLOCK

Business Name

AMANDA GAIL BURLOCK

Original Issue Date

02/05/2004

Effective Date

03/15/2012

Expiration Date

05/31/2014

City

APACHE JUNCTION

State

Zip

85119

County

ARIZONA

Ever Disciplined

LastModifiedDate

03/06/2014