ANGELA M BURCHAM Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041338141

License Status

INACTIVE

Business

First Name

ANGELA

Middle

Last Name

BURCHAM

Business Name

ANGELA M BURCHAM

Original Issue Date

11/04/2003

Effective Date

09/22/2020

Expiration Date

08/31/2022

City

MACON

State

Zip

62544

County

MACON

Ever Disciplined

LastModifiedDate

05/02/2022

Case Number

2010005482

Action

Suspension

Discipline Start Date

03/09/2011

Discipline End Date

04/08/2011

Discipline Reason

for committing a medication administration error.