STEPHEN K BERGMAN Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209000387

License Status

NOT RENEWED

Business

First Name

STEPHEN K

Last Name

BERGMAN

Business Name

STEPHEN K BERGMAN

Original Issue Date

05/22/2001

Effective Date

04/04/2016

Expiration Date

05/31/2018

City

CARTHAGE

State

Zip

62321

County

HANCOCK

Ever Disciplined

LastModifiedDate

07/19/2018