CARLA BOURGOUIS Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041160639

License Status

NOT RENEWED

Business

First Name

CARLA

Last Name

BOURGOUIS

Business Name

CARLA BOURGOUIS

Original Issue Date

05/06/1975

Effective Date

05/13/2020

Expiration Date

08/31/2022

City

CHICAGO

State

Zip

60643

County

COOK

Ever Disciplined

LastModifiedDate

10/14/2022