DONNA A BURGESS Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043053723

License Status

INACTIVE

Business

First Name

DONNA A

Last Name

BURGESS

Business Name

DONNA A BURGESS

Original Issue Date

01/13/1982

Effective Date

12/17/2004

Expiration Date

01/31/2005

City

MARION

State

Zip

62959

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

10/15/2005