MARION F VAN BERGEN Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041104201

License Status

INACTIVE

Business

First Name

MARION

Middle

Last Name

VAN BERGEN

Business Name

MARION F VAN BERGEN

Original Issue Date

11/09/1962

Effective Date

01/23/2009

Expiration Date

05/31/2010

City

WADSWORTH

State

Zip

60083

County

LAKE

Ever Disciplined

LastModifiedDate

03/05/2010