LAURIE K BERG Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041212900

License Status

INACTIVE

Business

First Name

LAURIE K

Last Name

BERG

Business Name

LAURIE K BERG

Original Issue Date

11/04/1982

Effective Date

04/14/2020

Expiration Date

08/31/2022

City

WASHINGTON

State

Zip

61571

County

PEORIA

Ever Disciplined

LastModifiedDate

05/04/2022