SARA GRACE NICKLAS Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041339006

License Status

NOT RENEWED

Business

First Name

SARA

Middle

GRACE

Last Name

NICKLAS

Business Name

SARA GRACE NICKLAS

Original Issue Date

02/09/2004

Effective Date

02/09/2004

Expiration Date

05/31/2006

City

BUFFALO GROVE

State

Zip

60089

County

LAKE

Ever Disciplined

LastModifiedDate

10/09/2006