MICHELLE L BERTKE Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****70

License Status

NOT RENEWED

Business

First Name

MICHELLE L

Last Name

BERTKE

Business Name

MICHELLE L BERTKE

Original Issue Date

12/13/2005

Effective Date

05/04/2022

Expiration Date

06/30/2024

City

PEORIA

State

Zip

61614

County

PEORIA

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/05/2025