NICOLE L STROM Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****55

License Status

NOT RENEWED

Business

First Name

NICOLE

Middle

Last Name

STROM

Business Name

NICOLE L STROM

Original Issue Date

03/22/2007

Effective Date

06/02/2008

Expiration Date

05/31/2010

City

GRAYSLAKE

State

Zip

60030

County

LAKE

Ever Disciplined

LastModifiedDate

08/11/2010