DIANA S BURGE Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041237747

License Status

INACTIVE

Business

First Name

DIANA S

Last Name

BURGE

Business Name

DIANA S BURGE

Original Issue Date

09/15/1986

Effective Date

05/19/2020

Expiration Date

08/31/2022

City

MAHOMET

State

Zip

61853

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

05/04/2022