LARAYNE A BERGO Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041308782

License Status

NOT RENEWED

Business

First Name

LARAYNE

Middle

Last Name

BERGO

Business Name

LARAYNE A BERGO

Original Issue Date

05/04/1998

Effective Date

05/10/2010

Expiration Date

05/31/2012

City

KENOSHA

State

Zip

53140

County

WISCONSIN

Ever Disciplined

LastModifiedDate

07/10/2012