TERESA JANE BURNSIDE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041149346

License Status

NOT RENEWED

Business

First Name

TERESA JANE

Last Name

BURNSIDE

Business Name

TERESA JANE BURNSIDE

Original Issue Date

07/26/1973

Effective Date

07/26/1973

City

CARBONDALE

State

Zip

62901

County

JACKSON

Ever Disciplined

LastModifiedDate

09/27/2006