ALICE A BERGHOLT Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043074402

License Status

NOT RENEWED

Business

First Name

ALICE A

Last Name

BERGHOLT

Business Name

ALICE A BERGHOLT

Original Issue Date

12/15/1993

Effective Date

03/04/2005

Expiration Date

01/31/2005

City

CHICAGO

State

Zip

60626

County

COOK

Ever Disciplined

LastModifiedDate

10/15/2005