DEANNA L BERG Advanced Practice Nurse License verification

Business Entity

INOPERATIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****42

License Status

INOPERATIVE

Business

First Name

DEANNA L

Last Name

BERG

Business Name

DEANNA L BERG

Original Issue Date

11/07/2019

Effective Date

04/23/2024

Expiration Date

05/31/2026

City

ROCKFPRD

State

Zip

61108

County

WINNEBAGO

Delegated Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

04/23/2024