SUSAN DEBOER BERGSTROM Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041229290

License Status

NOT RENEWED

Business

First Name

SUSAN DEBOER

Last Name

BERGSTROM

Business Name

SUSAN DEBOER BERGSTROM

Original Issue Date

05/13/1985

Effective Date

06/01/2016

Expiration Date

05/31/2018

City

LAKE VILLA

State

Zip

60046

County

LAKE

Ever Disciplined

LastModifiedDate

07/19/2018