PEGGY FAE NICELY Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041159232

License Status

NOT RENEWED

Business

First Name

PEGGY FAE

Last Name

NICELY

Business Name

PEGGY FAE NICELY

Original Issue Date

12/12/1974

Effective Date

12/12/1974

Expiration Date

05/31/2004

City

CENTRALIA

State

Zip

62801

County

MARION

Ever Disciplined

LastModifiedDate

10/09/2006