MADGE A BURBANK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043021483

License Status

NOT RENEWED

Business

First Name

MADGE A

Last Name

BURBANK

Business Name

MADGE A BURBANK

Original Issue Date

12/22/1967

Expiration Date

01/31/1989

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/21/2005