LOIS MAXINE BERGMAN Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043049563

License Status

INACTIVE

Business

First Name

LOIS

Middle

MAXINE

Last Name

BERGMAN

Business Name

LOIS MAXINE BERGMAN

Original Issue Date

07/02/1980

Effective Date

11/03/2006

Expiration Date

01/31/2009

City

RAYMOND

State

Zip

62560

County

MONTGOMERY

Ever Disciplined

LastModifiedDate

11/10/2008