BERGEN P NICHOLS Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041385366

License Status

NOT RENEWED

Business

First Name

BERGEN

Middle

Last Name

NICHOLS

Business Name

BERGEN P NICHOLS

Original Issue Date

07/14/2010

Effective Date

07/14/2010

Expiration Date

05/31/2012

City

SCOTT AIR FORCE BASE

State

Zip

62225

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

07/10/2012