GRANT BURTIS ANDERSON Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041279452

License Status

NOT RENEWED

Business

First Name

GRANT BURTIS

Last Name

ANDERSON

Business Name

GRANT BURTIS ANDERSON

Original Issue Date

03/28/1994

Effective Date

03/28/1994

Expiration Date

05/31/1996

City

KENOSHA

State

Zip

53140

County

WISCONSIN

Ever Disciplined

LastModifiedDate

09/27/2006