NICHOLAS MARK FENWICK Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209024523

License Status

ACTIVE

Business

First Name

NICHOLAS

Middle

MARK

Last Name

FENWICK

Business Name

NICHOLAS MARK FENWICK

Original Issue Date

12/09/2021

Effective Date

03/11/2026

Expiration Date

05/31/2028

City

SPRINGFIELD

State

Zip

62711

County

SANGAMON

Ever Disciplined

LastModifiedDate

03/11/2026