KATHALENE F BERGSTROM LPN Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043078796

License Status

INACTIVE

Business

First Name

KATHALENE F

Last Name

BERGSTROM LPN

Business Name

KATHALENE F BERGSTROM LPN

Original Issue Date

12/30/1995

Expiration Date

01/31/1997

City

BEAUMONT

State

Zip

77713

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

10/21/2005