BERTHA K LOOSE Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041238267

License Status

INACTIVE

Business

First Name

BERTHA K

Last Name

LOOSE

Business Name

BERTHA K LOOSE

Original Issue Date

09/15/1986

Effective Date

09/15/1986

Expiration Date

05/31/2004

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/09/2006