NICOLE M WOCHNER Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****11

License Status

NOT RENEWED

Business

First Name

NICOLE

Middle

Last Name

WOCHNER

Business Name

NICOLE M WOCHNER

Original Issue Date

12/09/2004

Effective Date

08/09/2022

Expiration Date

06/30/2024

City

MATTOON

State

Zip

61938

County

COLES

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/05/2025