MARYALIS BURGESS Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041090982

License Status

NOT RENEWED

Business

First Name

MARYALIS

Last Name

BURGESS

Business Name

MARYALIS BURGESS

Original Issue Date

11/07/1958

Effective Date

05/10/2012

Expiration Date

05/31/2014

City

DECATUR

State

Zip

62522

County

MACON

Ever Disciplined

LastModifiedDate

07/03/2014