CRETA JACOBS BURGESS

Business Entity
INACTIVE

Registered Nurse

REGISTERED PROFESSIONAL NURSE

041054017

INACTIVE

N

CRETA JACOBS

BURGESS

CRETA JACOBS BURGESS

06/22/1946

06/22/1946

05/31/1988

DECATUR

IL

62521

MACON

N

09/27/2006