MARJIE LOU BERG Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043012717

License Status

NOT RENEWED

Business

First Name

MARJIE LOU

Last Name

BERG

Business Name

MARJIE LOU BERG

Original Issue Date

12/17/1964

Expiration Date

01/31/1991

City

WEST CHICAGO

State

Zip

60185

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/21/2005