COLLEEN BURKART Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****15

License Status

NOT RENEWED

Business

First Name

COLLEEN

Last Name

BURKART

Business Name

COLLEEN BURKART

Original Issue Date

01/29/2002

Effective Date

01/29/2002

Expiration Date

05/31/2004

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/09/2006