NICOLE RAE BOREM Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041331836

License Status

NOT RENEWED

Business

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

City

CHICAGO

State

Zip

60626

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006