GERVAISE E NICKLAS - Registered Nurse License in Illinois | # 041139500

GERVAISE E NICKLAS

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041139500

License Status

INACTIVE

Business

N

First Name

GERVAISE E

Last Name

NICKLAS

Business Name

GERVAISE E NICKLAS

Original Issue Date

06/17/1971

Effective Date

08/04/2022

Expiration Date

05/31/2024

State

IL

Ever Disciplined

N

LastModifiedDate

04/27/2024