KIRK T BERGMARK Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****47

License Status

INACTIVE

Business

First Name

KIRK T

Last Name

BERGMARK

Business Name

KIRK T BERGMARK

Original Issue Date

11/08/2013

Effective Date

04/03/2018

Expiration Date

09/30/2020

City

ORLAND PARK

State

Zip

60462

County

COOK

Ever Disciplined

LastModifiedDate

04/02/2018