LISA K BERGTHOLD Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041242035

License Status

NOT RENEWED

Business

First Name

LISA K

Last Name

BERGTHOLD

Business Name

LISA K BERGTHOLD

Original Issue Date

06/11/1987

Effective Date

06/11/1987

Expiration Date

05/31/2006

City

PLAINFIELD

State

Zip

60544

County

WILL

Ever Disciplined

LastModifiedDate

10/09/2006