SHIRLEY HARRELL BURGESS Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041185312

License Status

NOT RENEWED

Business

First Name

SHIRLEY HARRELL

Last Name

BURGESS

Business Name

SHIRLEY HARRELL BURGESS

Original Issue Date

10/16/1978

Effective Date

10/16/1978

Expiration Date

05/31/2004

City

CISNE

State

Zip

62823

County

WAYNE

Ever Disciplined

LastModifiedDate

10/09/2006