The holder whose full name is Bergen, Michele Dawn,come from Covington IN,hold the Temporary RN Permit license(NO.99005273A) which status is Superceded.
| Name | Bergen, Michele Dawn |
|---|---|
| License Number | 99005273A |
| License Type | Temporary RN Permit |
| License Status | Superceded |
| City | Covington |
| State | IN |