NICOLE M DAVIS Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041320484

License Status

NOT RENEWED

Business

First Name

NICOLE

Middle

Last Name

DAVIS

Business Name

NICOLE M DAVIS

Original Issue Date

08/08/2000

Effective Date

05/11/2010

Expiration Date

05/31/2012

City

MAHOMET

State

Zip

61853

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

07/10/2012