KIM MARIE BURLAGE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041301601

License Status

NOT RENEWED

Business

First Name

KIM MARIE

Last Name

BURLAGE

Business Name

KIM MARIE BURLAGE

Original Issue Date

01/21/1997

Effective Date

01/21/1997

Expiration Date

05/31/2004

City

KIERLER

State

Zip

53812

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/09/2006