The holder whose full name is BERGSTROM, DALE ALLEN,come from HAGERSTOWN IN,hold the Registered Nurse license(NO.28130376A) which status is Expired.
| Name | BERGSTROM, DALE ALLEN |
|---|---|
| License Number | 28130376A |
| License Type | Registered Nurse |
| License Status | Expired |
| City | HAGERSTOWN |
| State | IN |