RUSSELL J BURGOYNE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041379896

License Status

NOT RENEWED

Business

First Name

RUSSELL

Middle

Last Name

BURGOYNE

Business Name

RUSSELL J BURGOYNE

Original Issue Date

09/17/2009

Effective Date

03/17/2010

Expiration Date

05/31/2012

City

GLENVILLE

State

Zip

12302

County

NEW YORK

Ever Disciplined

LastModifiedDate

07/10/2012