MARY L BERGREN Nursing Home Administrator License verification

Business Entity

INACTIVE

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044004951

License Status

INACTIVE

Business

First Name

MARY L

Last Name

BERGREN

Business Name

MARY L BERGREN

Original Issue Date

08/24/1995

Effective Date

10/19/2015

Expiration Date

11/30/2017

City

KEWANEE

State

Zip

61443

County

HENRY

Ever Disciplined

LastModifiedDate

09/07/2017