RAE ANN DAHLBERG Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041147116

License Status

NOT RENEWED

Business

First Name

RAE ANN

Last Name

DAHLBERG

Business Name

RAE ANN DAHLBERG

Original Issue Date

12/13/1972

Effective Date

12/13/1972

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

09/27/2006