STEPHEN K BERGMAN Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****43

License Status

NOT RENEWED

Business

First Name

STEPHEN K

Last Name

BERGMAN

Business Name

STEPHEN K BERGMAN

Original Issue Date

05/26/2016

Effective Date

05/26/2016

Expiration Date

05/31/2018

City

CARTHAGE

State

Zip

62321

County

HANCOCK

Ever Disciplined

LastModifiedDate

07/19/2018