AMY D BERGSTROM Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041303521

License Status

NOT RENEWED

Business

First Name

AMY

Middle

Last Name

BERGSTROM

Business Name

AMY D BERGSTROM

Original Issue Date

06/26/1997

Effective Date

06/26/1997

Expiration Date

05/31/2002

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Ever Disciplined

LastModifiedDate

10/09/2006