REGINA M BURGESS Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041217128

License Status

NOT RENEWED

Business

First Name

REGINA M

Last Name

BURGESS

Business Name

REGINA M BURGESS

Original Issue Date

10/11/1983

Effective Date

04/05/2010

Expiration Date

05/31/2012

City

VILLAGE OF LAKEWOOD

State

Zip

60014

County

MCHENRY

Ever Disciplined

LastModifiedDate

07/10/2012