LARRY R BERGMAN Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041107344

License Status

INACTIVE

Business

First Name

LARRY R

Last Name

BERGMAN

Business Name

LARRY R BERGMAN

Original Issue Date

11/13/1963

Effective Date

11/13/1963

City

GASTONIA

State

Zip

28052

County

NORTH CAROLINA

Ever Disciplined

LastModifiedDate

09/27/2006