VIVIAN FAYE BERTHUSEN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041188750

License Status

NOT RENEWED

Business

First Name

VIVIAN FAYE

Last Name

BERTHUSEN

Business Name

VIVIAN FAYE BERTHUSEN

Original Issue Date

07/13/1979

Effective Date

07/13/1979

Expiration Date

05/31/2006

City

ROCKFORD

State

Zip

61114

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/09/2006