JEFFREY D BERG Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043079527

License Status

NOT RENEWED

Business

First Name

JEFFREY

Middle

Last Name

BERG

Business Name

JEFFREY D BERG

Original Issue Date

08/22/1996

Expiration Date

01/31/1999

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/27/2005