MYRA A BURNETT Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043113688

License Status

NOT RENEWED

Business

First Name

MYRA

Middle

Last Name

BURNETT

Business Name

MYRA A BURNETT

Original Issue Date

10/13/2011

Effective Date

10/13/2011

Expiration Date

01/31/2013

City

FAIRFIELD

State

Zip

62837

County

WAYNE

Ever Disciplined

LastModifiedDate

03/20/2013