ANGELA M BURCHAM - Registered Nurse License in Illinois | # 043058081

ANGELA M BURCHAM

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043058081

License Status

NOT RENEWED

Business

N

First Name

ANGELA

Middle

M

Last Name

BURCHAM

Business Name

ANGELA M BURCHAM

Original Issue Date

12/27/1983

Effective Date

03/04/2005

Expiration Date

01/31/2005

State

IL

Ever Disciplined

N

LastModifiedDate

10/15/2005