ALICE A BERGHOLT - Registered Nurse License in Illinois | # 043074402

ALICE A BERGHOLT

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043074402

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

10/15/2005