LEAH S BURT Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****81

License Status

INACTIVE

Business

First Name

LEAH

Middle

Last Name

BURT

Business Name

LEAH S BURT

Original Issue Date

08/31/2010

Effective Date

04/08/2020

Expiration Date

05/31/2022

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

04/08/2020