NICOLE L STROM Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209006296

License Status

NOT RENEWED

Business

First Name

NICOLE

Middle

Last Name

STROM

Business Name

NICOLE L STROM

Original Issue Date

11/02/2006

Effective Date

04/02/2020

Expiration Date

09/30/2020

City

CHAMPAIGN

State

Zip

61821

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

01/14/2021