DELIA RUTH NICKOLAUS Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****08

License Status

NOT RENEWED

Business

First Name

DELIA

Middle

RUTH

Last Name

NICKOLAUS

Business Name

DELIA RUTH NICKOLAUS

Original Issue Date

05/15/2006

Effective Date

05/15/2006

Expiration Date

05/31/2008

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

07/11/2008