SANDRA J BERG Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041121799

License Status

INACTIVE

Business

First Name

SANDRA J

Last Name

BERG

Business Name

SANDRA J BERG

Original Issue Date

08/21/1967

Effective Date

08/21/1967

Expiration Date

05/31/2008

City

ROCKFORD

State

Zip

61114

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

03/11/2008