JENNIFER RUTH NICHELSON Advanced Practice Nurse License verification

Business Entity

INOPERATIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****04

License Status

INOPERATIVE

Business

First Name

JENNIFER

Middle

RUTH

Last Name

NICHELSON

Business Name

JENNIFER RUTH NICHELSON

Original Issue Date

08/06/2008

Effective Date

05/05/2020

Expiration Date

05/31/2022

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/02/2022