SHONTELL M BURCH Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043103509

License Status

NOT RENEWED

Business

First Name

SHONTELL

Middle

Last Name

BURCH

Business Name

SHONTELL M BURCH

Original Issue Date

05/10/2007

Effective Date

05/10/2007

Expiration Date

01/31/2009

City

MADISON

State

Zip

62060

County

MADISON

Ever Disciplined

LastModifiedDate

03/17/2009