MARILYN A BURGETT Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043031324

License Status

INACTIVE

Business

First Name

MARILYN A

Last Name

BURGETT

Business Name

MARILYN A BURGETT

Original Issue Date

11/14/1972

Effective Date

11/24/2004

Expiration Date

01/31/2005

City

LEWISTOWN

State

Zip

61542

County

FULTON

Ever Disciplined

LastModifiedDate

10/15/2005