ANNA BURKHART Cosmetologist License verification

Business Entity

NOT RENEWED

License Type

Cosmetologist

Description

LICENSED COSMETOLOGIST

License Number

011157341

License Status

NOT RENEWED

Business

First Name

ANNA

Last Name

BURKHART

Business Name

ANNA BURKHART

Original Issue Date

08/22/1974

Effective Date

09/28/2015

Expiration Date

09/30/2017

City

ROCKFORD

State

Zip

61109

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

11/01/2017

Case Number

2004003069

Action

Reprimand

Discipline Start Date

11/09/2004

Discipline Reason

FAILED TO PROVIDE REQUESTED INFORMATION TO THE DEPARTMENT IN A TIMELY MANNER.