GWEN M BERG Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041120931

License Status

INACTIVE

Business

First Name

GWEN M

Last Name

BERG

Business Name

GWEN M BERG

Original Issue Date

03/24/1967

Effective Date

03/24/1967

City

BOLINGBROOK

State

Zip

60439

County

WILL

Ever Disciplined

LastModifiedDate

09/27/2006