DAWN B BERGIN Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****41

License Status

ACTIVE

Business

First Name

DAWN B

Last Name

BERGIN

Business Name

DAWN B BERGIN

Original Issue Date

06/18/2015

Effective Date

04/26/2024

Expiration Date

05/31/2026

City

LOMBARD

State

Zip

60148

County

DUPAGE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026