EDELL A BERG Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041129938

License Status

INACTIVE

Business

First Name

EDELL A

Last Name

BERG

Business Name

EDELL A BERG

Original Issue Date

02/14/1969

Effective Date

02/14/1969

Expiration Date

05/31/2006

City

PEORIA

State

Zip

61604

County

PEORIA

Ever Disciplined

LastModifiedDate

10/09/2006