SANDRA D BURGESS Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043109807

License Status

NOT RENEWED

Business

First Name

SANDRA D

Last Name

BURGESS

Business Name

SANDRA D BURGESS

Original Issue Date

02/10/2010

Effective Date

01/10/2011

Expiration Date

01/31/2013

City

QUINCY

State

Zip

62305

County

ADAMS

Ever Disciplined

LastModifiedDate

03/20/2013

Case Number

2011001368

Action

Suspension

Discipline Start Date

12/19/2011

Discipline Reason

after tested positive for Methamphetamine while employed at St. Vincent's Home in Quincy, Illinois.