SUSAN M BERGMAN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043112454

License Status

NOT RENEWED

Business

First Name

SUSAN M

Last Name

BERGMAN

Business Name

SUSAN M BERGMAN

Original Issue Date

04/01/2011

Effective Date

04/01/2011

Expiration Date

01/31/2013

City

CHICAGO

State

Zip

60605

County

COOK

Ever Disciplined

LastModifiedDate

03/20/2013