The holder whose full name is Bergum, Diane Marie,come from Union MI,hold the Temporary RN Permit license(NO.99008697A) which status is Superceded.
| Name | Bergum, Diane Marie |
|---|---|
| License Number | 99008697A |
| License Type | Temporary RN Permit |
| License Status | Superceded |
| City | Union |
| State | MI |