AMANDA C BERGERON Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041405063

License Status

NOT RENEWED

Business

First Name

AMANDA

Middle

Last Name

BERGERON

Business Name

AMANDA C BERGERON

Original Issue Date

08/15/2012

Effective Date

08/15/2012

Expiration Date

05/31/2014

City

PORT ALLEN

State

Zip

70767

County

LOUISIANA

Ever Disciplined

LastModifiedDate

07/03/2014