ERIN L BERGLAND Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041330715

License Status

NOT RENEWED

Business

First Name

ERIN

Middle

Last Name

BERGLAND

Business Name

ERIN L BERGLAND

Original Issue Date

07/18/2002

Effective Date

07/18/2002

Expiration Date

05/31/2006

City

WAUWATOSAD

State

Zip

53226

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/09/2006