JACQUELINE A BURNSIDE Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041243622

License Status

INACTIVE

Business

First Name

JACQUELINE A

Last Name

BURNSIDE

Business Name

JACQUELINE A BURNSIDE

Original Issue Date

10/02/1987

Effective Date

10/02/1987

Expiration Date

05/31/1996

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Ever Disciplined

LastModifiedDate

09/27/2006