JILL A BERG Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041356275

License Status

NOT RENEWED

Business

First Name

JILL

Middle

Last Name

BERG

Business Name

JILL A BERG

Original Issue Date

10/10/2006

Effective Date

06/10/2019

Expiration Date

09/30/2020

City

BELOIT

State

Zip

53511

County

WISCONSIN

Ever Disciplined

LastModifiedDate

01/14/2021