JANE H BERGMAN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041195983

License Status

NOT RENEWED

Business

First Name

JANE H

Last Name

BERGMAN

Business Name

JANE H BERGMAN

Original Issue Date

06/26/1980

Effective Date

06/26/1980

Expiration Date

05/31/1996

City

CHAMPAIGN

State

Zip

61821

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

09/27/2006