TARA L BERG-GOULD Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041302538

License Status

NOT RENEWED

Business

First Name

TARA

Middle

Last Name

BERG-GOULD

Business Name

TARA L BERG-GOULD

Original Issue Date

04/09/1997

Effective Date

09/28/2020

Expiration Date

08/31/2022

City

DE KALB

State

Zip

60115

County

DEKALB

Ever Disciplined

LastModifiedDate

10/14/2022