FAY L BURGESS Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043072007

License Status

NOT RENEWED

Business

First Name

FAY L

Last Name

BURGESS

Business Name

FAY L BURGESS

Original Issue Date

06/19/1992

Effective Date

01/11/2005

Expiration Date

01/31/2007

City

CHICAGO

State

Zip

60617

County

COOK

Ever Disciplined

LastModifiedDate

05/14/2009