TRACY M BURKDOLL Advanced Practice Nurse License verification

Business Entity

INOPERATIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****81

License Status

INOPERATIVE

Business

First Name

TRACY

Middle

Last Name

BURKDOLL

Business Name

TRACY M BURKDOLL

Original Issue Date

03/13/2019

Effective Date

03/13/2019

Expiration Date

09/30/2020

City

HARVEY

State

Zip

60426

County

COOK

Ever Disciplined

LastModifiedDate

03/08/2020