NICKOLAS K WILLARD Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209010303

License Status

NOT RENEWED

Business

First Name

NICKOLAS

Middle

Last Name

WILLARD

Business Name

NICKOLAS K WILLARD

Original Issue Date

03/11/2013

Effective Date

04/01/2014

Expiration Date

05/31/2016

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

07/11/2016