MARTHA BURGHARDT Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043016874

License Status

INACTIVE

Business

First Name

MARTHA

Last Name

BURGHARDT

Business Name

MARTHA BURGHARDT

Original Issue Date

11/30/1966

City

CHICAGO

State

Zip

60638

County

COOK

Ever Disciplined

LastModifiedDate

10/21/2005