NICHOLAS BOHUMIL FARISON Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041427646

License Status

NOT RENEWED

Business

First Name

NICHOLAS

Middle

BOHUMIL

Last Name

FARISON

Business Name

NICHOLAS BOHUMIL FARISON

Original Issue Date

02/17/2015

Effective Date

04/20/2018

Expiration Date

09/30/2020

City

URBANA

State

Zip

61802

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

01/14/2021