MARY C BURKE Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****96

License Status

NOT RENEWED

Business

First Name

MARY C

Last Name

BURKE

Business Name

MARY C BURKE

Original Issue Date

09/08/2010

Effective Date

05/24/2018

Expiration Date

09/30/2020

City

EVERGREEN PARK

State

Zip

60805

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021