NICOLE RAE BOREM - Registered Nurse License in Illinois | # 041331836

NICOLE RAE BOREM

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041331836

License Status

NOT RENEWED

Business

N

First Name

NICOLE

Middle

RAE

Last Name

BOREM

Business Name

NICOLE RAE BOREM

Original Issue Date

08/23/2002

Effective Date

08/23/2002

Expiration Date

05/31/2006

State

IL

Ever Disciplined

N

LastModifiedDate

10/09/2006