LAURA JEAN BERGQUIST Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043023282

License Status

NOT RENEWED

Business

First Name

LAURA JEAN

Last Name

BERGQUIST

Business Name

LAURA JEAN BERGQUIST

Original Issue Date

06/17/1968

Effective Date

04/04/2007

Expiration Date

01/31/2009

City

EVERGREEN PARK

State

Zip

60805

County

COOK

Ever Disciplined

LastModifiedDate

03/17/2009