BERTIE W FERGUSON Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041330377

License Status

NOT RENEWED

Business

First Name

BERTIE

Middle

Last Name

FERGUSON

Business Name

BERTIE W FERGUSON

Original Issue Date

06/12/2002

Effective Date

06/12/2002

Expiration Date

05/31/2004

City

SOUTH BEND

State

Zip

46615

County

INDIANA

Ever Disciplined

LastModifiedDate

10/09/2006