MARY JANE CIBURK Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041159708

License Status

INACTIVE

Business

First Name

MARY JANE

Last Name

CIBURK

Business Name

MARY JANE CIBURK

Original Issue Date

02/13/1975

Effective Date

02/13/1975

Expiration Date

05/31/2004

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/09/2006