PETER E BERGMAN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041263029

License Status

NOT RENEWED

Business

First Name

PETER E

Last Name

BERGMAN

Business Name

PETER E BERGMAN

Original Issue Date

06/26/1991

Effective Date

05/19/2010

Expiration Date

05/31/2012

City

CHICAGO

State

Zip

60640

County

COOK

Ever Disciplined

LastModifiedDate

07/10/2012