BENJAMIN E BERGESEN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041559810

License Status

NOT RENEWED

Business

First Name

BENJAMIN

Middle

Last Name

BERGESEN

Business Name

BENJAMIN E BERGESEN

Original Issue Date

02/08/2024

Effective Date

02/08/2024

Expiration Date

06/30/2024

City

TERRE HAUTE

State

Zip

47802

Ever Disciplined

LastModifiedDate

02/05/2025