DIANNE F BURGE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041236778

License Status

NOT RENEWED

Business

First Name

DIANNE F

Last Name

BURGE

Business Name

DIANNE F BURGE

Original Issue Date

09/15/1986

Effective Date

09/15/1986

Expiration Date

05/31/1994

City

SPRINGFIELD

State

Zip

62707

County

SANGAMON

Ever Disciplined

LastModifiedDate

09/27/2006