MELBA IVA WALTMA BURCH Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043035673

License Status

NOT RENEWED

Business

First Name

MELBA IVA WALTMA

Last Name

BURCH

Business Name

MELBA IVA WALTMA BURCH

Original Issue Date

11/12/1974

Expiration Date

01/31/1985

City

HOMEWOOD

State

Zip

60430

County

COOK

Ever Disciplined

LastModifiedDate

10/21/2005