KRISTINA L BERG Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****37

License Status

ACTIVE

Business

First Name

KRISTINA

Middle

Last Name

BERG

Business Name

KRISTINA L BERG

Original Issue Date

09/19/2016

Effective Date

03/11/2024

Expiration Date

05/31/2026

City

FLORA

State

Zip

62839

County

SHELBY

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026