MARILYN J BERGSTROM Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041092501

License Status

NOT RENEWED

Business

First Name

MARILYN J

Last Name

BERGSTROM

Business Name

MARILYN J BERGSTROM

Original Issue Date

12/31/1958

Effective Date

12/31/1958

City

ARPIN

State

Zip

54410

County

WISCONSIN

Ever Disciplined

LastModifiedDate

09/27/2006