JEREMY E BURTIS Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043082419

License Status

NOT RENEWED

Business

First Name

JEREMY

Middle

Last Name

BURTIS

Business Name

JEREMY E BURTIS

Original Issue Date

07/01/1998

Effective Date

03/07/2001

Expiration Date

01/31/2001

City

RIDGWAY

State

Zip

62979

County

GALLATIN

Ever Disciplined

LastModifiedDate

10/15/2005