MARLA S BERNARD Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041321452

License Status

NOT RENEWED

Business

First Name

MARLA

Middle

Last Name

BERNARD

Business Name

MARLA S BERNARD

Original Issue Date

09/05/2000

Effective Date

05/13/2014

Expiration Date

05/31/2016

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

07/11/2016

Case Number

2015000280

Action

Refuse To Renew

Discipline Start Date

03/27/2015

Discipline End Date

06/30/2015

Discipline Reason

for having defaulted on Nursing Education Scholarship obligations to the Illinois Department of Public Health.