KIRK T BERGMARK Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209004427

License Status

INACTIVE

Business

First Name

KIRK T

Last Name

BERGMARK

Business Name

KIRK T BERGMARK

Original Issue Date

08/16/2002

Effective Date

04/02/2018

Expiration Date

09/30/2020

City

ORLAND PARK

State

Zip

60467

County

COOK

Ever Disciplined

LastModifiedDate

04/02/2018