SANDRA KAY NICOLOSI Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****83

License Status

NOT RENEWED

Business

First Name

SANDRA KAY

Last Name

NICOLOSI

Business Name

SANDRA KAY NICOLOSI

Original Issue Date

01/17/2003

Effective Date

01/17/2003

Expiration Date

05/31/2006

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/09/2006