MARY M NICKERSON Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041254548

License Status

NOT RENEWED

Business

First Name

MARY M

Last Name

NICKERSON

Business Name

MARY M NICKERSON

Original Issue Date

09/21/1989

Effective Date

05/18/2018

Expiration Date

09/30/2020

City

WASHINGTON

State

Zip

61571

County

TAZEWELL

Ever Disciplined

LastModifiedDate

01/14/2021