NICOLE J HENDRICKSON Advanced Practice Nurse License verification

Business Entity

INOPERATIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****86

License Status

INOPERATIVE

Business

First Name

NICOLE

Middle

Last Name

HENDRICKSON

Business Name

NICOLE J HENDRICKSON

Original Issue Date

11/26/2019

Effective Date

11/26/2019

Expiration Date

09/30/2020

City

WAUCONDA

State

Zip

60084

County

LAKE

Ever Disciplined

LastModifiedDate

03/08/2020