CARLA J BURDOCK Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****09

License Status

NOT RENEWED

Business

First Name

CARLA

Middle

Last Name

BURDOCK

Business Name

CARLA J BURDOCK

Original Issue Date

11/03/2006

Effective Date

05/29/2020

Expiration Date

08/31/2022

City

OAK PARK

State

Zip

60304

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/14/2022