DIANE L BERG Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041375624

License Status

NOT RENEWED

Business

First Name

DIANE

Middle

Last Name

BERG

Business Name

DIANE L BERG

Original Issue Date

05/14/2009

Effective Date

06/01/2016

Expiration Date

05/31/2018

City

BARRON

State

Zip

54812

County

WISCONSIN

Ever Disciplined

LastModifiedDate

07/19/2018