ELLEN BERGHUIS - Registered Nurse License in South Dakota | # 041102149

ELLEN BERGHUIS

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041102149

License Status

NOT RENEWED

Business

N

First Name

ELLEN

Last Name

BERGHUIS

Business Name

ELLEN BERGHUIS

Original Issue Date

01/23/1962

Effective Date

01/23/1962

State

SD

Ever Disciplined

N

LastModifiedDate

09/27/2006