TERRI Z BERGSTROM Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041318933

License Status

NOT RENEWED

Business

First Name

TERRI

Middle

Last Name

BERGSTROM

Business Name

TERRI Z BERGSTROM

Original Issue Date

03/27/2000

Effective Date

04/25/2012

Expiration Date

05/31/2014

City

BELVIDERE

State

Zip

61008

County

BOONE

Ever Disciplined

LastModifiedDate

07/03/2014