JORDIS D BERGMAN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041096073

License Status

NOT RENEWED

Business

First Name

JORDIS D

Last Name

BERGMAN

Business Name

JORDIS D BERGMAN

Original Issue Date

04/01/1960

Effective Date

04/01/1960

Expiration Date

05/31/2004

City

LAKE VILLA

State

Zip

60046

County

LAKE

Ever Disciplined

LastModifiedDate

10/09/2006