LAURA MARIE BERGS Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209005005

License Status

NOT RENEWED

Business

First Name

LAURA MARIE

Last Name

BERGS

Business Name

LAURA MARIE BERGS

Original Issue Date

02/04/2004

Effective Date

02/04/2004

Expiration Date

05/31/2006

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

06/09/2008