KIMBERLY ANNE BOURG Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041283267

License Status

INACTIVE

Business

First Name

KIMBERLY

Middle

ANNE

Last Name

BOURG

Business Name

KIMBERLY ANNE BOURG

Original Issue Date

08/11/1994

Effective Date

08/11/1994

Expiration Date

05/31/1996

City

ALTON

State

Zip

62002

County

MADISON

Ever Disciplined

LastModifiedDate

05/02/2007