SUSAN L BERGSTROM Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041216877

License Status

NOT RENEWED

Business

First Name

SUSAN L

Last Name

BERGSTROM

Business Name

SUSAN L BERGSTROM

Original Issue Date

07/18/1983

Effective Date

07/18/1983

Expiration Date

05/31/1988

City

CANTON

State

Zip

61520

County

FULTON

Ever Disciplined

LastModifiedDate

09/27/2006