NICOLE J HENDRICKSON Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****50

License Status

INACTIVE

Business

First Name

NICOLE

Middle

Last Name

HENDRICKSON

Business Name

NICOLE J HENDRICKSON

Original Issue Date

11/23/2019

Effective Date

06/29/2020

Expiration Date

05/31/2022

City

WAUCONDA

State

Zip

60084

County

LAKE

Ever Disciplined

LastModifiedDate

03/21/2022