ALYS L BERGEN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041367163

License Status

NOT RENEWED

Business

First Name

ALYS

Middle

Last Name

BERGEN

Business Name

ALYS L BERGEN

Original Issue Date

03/31/2008

Effective Date

05/09/2018

Expiration Date

09/30/2020

City

ROSCOE

State

Zip

61073

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

01/14/2021