AMANDA J BURKLOW Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043084223

License Status

INACTIVE

Business

First Name

AMANDA

Middle

Last Name

BURKLOW

Business Name

AMANDA J BURKLOW

Original Issue Date

10/21/1999

Effective Date

12/05/2002

Expiration Date

01/31/2003

City

KANKAKEE

State

Zip

60901

County

KANKAKEE

Ever Disciplined

LastModifiedDate

10/15/2005