BERTH A JONGSMA Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043016954

License Status

INACTIVE

Business

First Name

BERTH A

Last Name

JONGSMA

Business Name

BERTH A JONGSMA

Original Issue Date

11/30/1966

City

OAK LAWN

State

Zip

60454

County

COOK

Ever Disciplined

LastModifiedDate

10/21/2005