MELBA IVA WALTMA BURCH - Registered Nurse License in Illinois | # 043035673

MELBA IVA WALTMA BURCH

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043035673

License Status

NOT RENEWED

Business

N

First Name

MELBA IVA WALTMA

Last Name

BURCH

Business Name

MELBA IVA WALTMA BURCH

Original Issue Date

11/12/1974

Expiration Date

01/31/1985

State

IL

Ever Disciplined

N

LastModifiedDate

10/21/2005