MARYSUE BERGESON Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041137941

License Status

INACTIVE

Business

First Name

MARYSUE

Last Name

BERGESON

Business Name

MARYSUE BERGESON

Original Issue Date

11/24/1970

Effective Date

09/23/2020

Expiration Date

08/31/2022

City

CHERRY VALLEY

State

Zip

61016

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/04/2022