JENNIFER BERGEN Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****11

License Status

ACTIVE

Business

First Name

JENNIFER

Last Name

BERGEN

Business Name

JENNIFER BERGEN

Original Issue Date

09/19/2024

Effective Date

09/19/2024

Expiration Date

05/31/2026

City

CHICAGO

State

Zip

60638

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026