CARLA J BURDOCK Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209000279

License Status

INACTIVE

Business

First Name

CARLA

Middle

Last Name

BURDOCK

Business Name

CARLA J BURDOCK

Original Issue Date

05/14/2001

Effective Date

05/29/2020

Expiration Date

05/31/2022

City

OAK PARK

State

Zip

60304

County

COOK

Ever Disciplined

LastModifiedDate

05/29/2020