DAVID L BERGLAND Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041304015

License Status

NOT RENEWED

Business

First Name

DAVID

Middle

Last Name

BERGLAND

Business Name

DAVID L BERGLAND

Original Issue Date

08/01/1997

Effective Date

03/11/2008

Expiration Date

05/31/2010

City

STAUNTON

State

Zip

62088

County

MACOUPIN

Ever Disciplined

LastModifiedDate

08/16/2010