LISA MARIE NICHOLS - Registered Nurse License in Indiana | # 041333504

LISA MARIE NICHOLS

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041333504

License Status

NOT RENEWED

Business

N

First Name

LISA

Middle

MARIE

Last Name

NICHOLS

Business Name

LISA MARIE NICHOLS

Original Issue Date

12/11/2002

Effective Date

12/11/2002

Expiration Date

05/31/2004

State

IN

Ever Disciplined

N

LastModifiedDate

10/09/2006