RANDI L BERG Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****42

License Status

ACTIVE

Business

First Name

RANDI

Middle

Last Name

BERG

Business Name

RANDI L BERG

Original Issue Date

07/24/2017

Effective Date

05/08/2024

Expiration Date

05/31/2026

City

ALTAMONT

State

Zip

62411

County

EFFINGHAM

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026