WHITNEY SUE BERGEN Nursing Home Administrator License verification

Business Entity

EXPIRED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045003900

License Status

EXPIRED

Business

First Name

WHITNEY

Middle

SUE

Last Name

BERGEN

Business Name

WHITNEY SUE BERGEN

Original Issue Date

12/09/2015

Effective Date

10/02/2016

Expiration Date

10/02/2017

City

GALESBURG

State

Zip

61401

County

KNOX

Ever Disciplined

LastModifiedDate

01/15/2025