NICOLE M WANTOCH Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209013560

License Status

NOT RENEWED

Business

First Name

NICOLE

Middle

Last Name

WANTOCH

Business Name

NICOLE M WANTOCH

Original Issue Date

11/06/2015

Effective Date

03/23/2016

Expiration Date

05/31/2018

City

VALPARAISO

State

Zip

46383

Ever Disciplined

LastModifiedDate

07/19/2018