LISA ELLEN BURCH Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041346021

License Status

NOT RENEWED

Business

First Name

LISA

Middle

ELLEN

Last Name

BURCH

Business Name

LISA ELLEN BURCH

Original Issue Date

05/06/2005

Effective Date

03/29/2012

Expiration Date

05/31/2014

City

FONTANA

State

Zip

53125

County

WISCONSIN

Ever Disciplined

LastModifiedDate

07/03/2014