NICOLE N MAMMEN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041328909

License Status

NOT RENEWED

Business

First Name

NICOLE

Middle

Last Name

MAMMEN

Business Name

NICOLE N MAMMEN

Original Issue Date

03/20/2002

Effective Date

03/20/2002

Expiration Date

05/31/2008

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

07/11/2008