CAROLYN A BURGESS Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041383967

License Status

INACTIVE

Business

First Name

CAROLYN

Middle

Last Name

BURGESS

Business Name

CAROLYN A BURGESS

Original Issue Date

05/24/2010

Effective Date

05/24/2010

Expiration Date

05/31/2012

City

MIRAMAR BEACH

State

Zip

32550

County

FLORIDA

Ever Disciplined

LastModifiedDate

03/08/2012