IE RENE BURNSIDE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041136012

License Status

NOT RENEWED

Business

First Name

IE RENE

Last Name

BURNSIDE

Business Name

IE RENE BURNSIDE

Original Issue Date

01/01/1997

Effective Date

05/20/2020

Expiration Date

08/31/2022

City

PONTIAC

State

Zip

61764

County

LIVINGSTON

Ever Disciplined

LastModifiedDate

10/14/2022