SUSAN GAYLE NICHOLAS Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041150941

License Status

NOT RENEWED

Business

First Name

SUSAN GAYLE

Last Name

NICHOLAS

Business Name

SUSAN GAYLE NICHOLAS

Original Issue Date

10/03/1973

Effective Date

05/17/2016

Expiration Date

05/31/2018

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

07/19/2018