MICHELLE R BERGENSTOCK - Registered Nurse License in Illinois | # 043086946

MICHELLE R BERGENSTOCK

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043086946

License Status

NOT RENEWED

Business

N

First Name

MICHELLE

Middle

R

Last Name

BERGENSTOCK

Business Name

MICHELLE R BERGENSTOCK

Original Issue Date

12/20/2001

Effective Date

03/04/2003

Expiration Date

01/31/2003

State

IL

Ever Disciplined

N

LastModifiedDate

10/21/2005