LAUREL ANN BERGREN Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****66

License Status

INACTIVE

Business

First Name

LAUREL

Middle

ANN

Last Name

BERGREN

Business Name

LAUREL ANN BERGREN

Original Issue Date

11/10/2016

Effective Date

03/17/2020

Expiration Date

05/31/2022

City

ADDISON

State

Zip

60101

County

DUPAGE

Ever Disciplined

LastModifiedDate

03/16/2020