MICHELLE R BERGENSTOCK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043086946

License Status

NOT RENEWED

Business

First Name

MICHELLE

Middle

Last Name

BERGENSTOCK

Business Name

MICHELLE R BERGENSTOCK

Original Issue Date

12/20/2001

Effective Date

03/04/2003

Expiration Date

01/31/2003

City

CHICAGO

State

Zip

60659

County

COOK

Ever Disciplined

LastModifiedDate

10/21/2005