THOMAS EDWIN BURBACH Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041508462

License Status

NOT RENEWED

Business

First Name

THOMAS

Middle

EDWIN

Last Name

BURBACH

Business Name

THOMAS EDWIN BURBACH

Original Issue Date

04/21/2021

Effective Date

04/21/2021

Expiration Date

08/31/2022

City

DUBUQUE

State

Zip

52001

Ever Disciplined

LastModifiedDate

10/14/2022