ALYS L BERGEN - Registered Nurse License in Illinois | # 041367163

ALYS L BERGEN

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041367163

License Status

NOT RENEWED

Business

N

First Name

ALYS

Middle

L

Last Name

BERGEN

Business Name

ALYS L BERGEN

Original Issue Date

03/31/2008

Effective Date

05/09/2018

Expiration Date

09/30/2020

State

IL

Ever Disciplined

N

LastModifiedDate

01/14/2021