CARLA ANNE BURGESS Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041303403

License Status

NOT RENEWED

Business

First Name

CARLA

Middle

ANNE

Last Name

BURGESS

Business Name

CARLA ANNE BURGESS

Original Issue Date

06/11/1997

Effective Date

03/14/2014

Expiration Date

05/31/2016

City

LAWRENCEVILLE

State

Zip

62439

County

LAWRENCE

Ever Disciplined

LastModifiedDate

07/11/2016