ERIK ULLBERG Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041304472

License Status

NOT RENEWED

Business

First Name

ERIK

Last Name

ULLBERG

Business Name

ERIK ULLBERG

Original Issue Date

08/11/1997

Effective Date

08/11/1997

Expiration Date

05/31/2006

City

WATERFORD

State

Zip

53185

County

WISCONSIN

Ever Disciplined

LastModifiedDate

06/27/2012

Case Number

2005006770

Action

Refuse To Renew

Discipline Start Date

06/27/2012

Discipline Reason

due to a violation of probation.