DONNA M BURGESS Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041256467

License Status

NOT RENEWED

Business

First Name

DONNA M

Last Name

BURGESS

Business Name

DONNA M BURGESS

Original Issue Date

03/27/1990

Effective Date

03/27/1990

Expiration Date

05/31/2004

City

EAST CHICAGO

State

Zip

46312

County

INDIANA

Ever Disciplined

LastModifiedDate

10/09/2006