JANE W BERGENDORF Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041127909

License Status

INACTIVE

Business

First Name

JANE W

Last Name

BERGENDORF

Business Name

JANE W BERGENDORF

Original Issue Date

09/26/1968

Effective Date

03/27/2012

Expiration Date

05/31/2014

City

PROSPECT HEIGHTS

State

Zip

60070

County

COOK

Ever Disciplined

LastModifiedDate

03/06/2014