DIANNE F BERGENDORF Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043047781

License Status

INACTIVE

Business

First Name

DIANNE F

Last Name

BERGENDORF

Business Name

DIANNE F BERGENDORF

Original Issue Date

01/07/1980

Expiration Date

05/01/1982

City

ARLINGTON HEIGHTS

State

Zip

60004

County

COOK

Ever Disciplined

LastModifiedDate

10/21/2005