IDA MAE BURTON Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043020633

License Status

INACTIVE

Business

First Name

IDA MAE

Last Name

BURTON

Business Name

IDA MAE BURTON

Original Issue Date

10/02/1967

City

DECATUR

State

Zip

62522

County

MACON

Ever Disciplined

LastModifiedDate

10/21/2005