LAURIE A BERG Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****09

License Status

ACTIVE

Business

First Name

LAURIE

Middle

Last Name

BERG

Business Name

LAURIE A BERG

Original Issue Date

10/21/2015

Effective Date

03/02/2026

Expiration Date

05/31/2028

City

HINSDALE

State

Zip

60521

County

DUPAGE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026