HOLLY M BERTRAM Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041265499

License Status

NOT RENEWED

Business

First Name

HOLLY M

Last Name

BERTRAM

Business Name

HOLLY M BERTRAM

Original Issue Date

10/02/1991

Effective Date

10/02/1991

Expiration Date

05/31/1996

City

CHAMPAIGN

State

Zip

61821

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

09/27/2006