JOHN RICHARD NICHOLS Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****44

License Status

ACTIVE

Business

First Name

JOHN

Middle

RICHARD

Last Name

NICHOLS

Business Name

JOHN RICHARD NICHOLS

Original Issue Date

06/04/2018

Effective Date

03/03/2026

Expiration Date

05/31/2028

City

MATTOON

State

Zip

61938

County

COLES

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/03/2026