RENEE C BERGSTROM Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****79

License Status

ACTIVE

Business

First Name

RENEE

Middle

Last Name

BERGSTROM

Business Name

RENEE C BERGSTROM

Original Issue Date

10/24/2018

Effective Date

03/20/2024

Expiration Date

05/31/2026

City

AURORA

State

Zip

60504

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026