MICHAEL S BERG Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041233530

License Status

NOT RENEWED

Business

First Name

MICHAEL S

Last Name

BERG

Business Name

MICHAEL S BERG

Original Issue Date

11/04/1985

Effective Date

11/04/1985

Expiration Date

05/31/1992

City

GRANGEVILLE

State

Zip

83530

County

IDAHO

Ever Disciplined

LastModifiedDate

09/27/2006