PHYLLIS J BURNAM Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041110592

License Status

NOT RENEWED

Business

First Name

PHYLLIS J

Last Name

BURNAM

Business Name

PHYLLIS J BURNAM

Original Issue Date

08/28/1964

Effective Date

04/01/2014

Expiration Date

05/31/2016

City

KALAMAZOO

State

Zip

49009

County

MICHIGAN

Ever Disciplined

LastModifiedDate

07/11/2016