NICCOLE A KOELLER Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043084644

License Status

NOT RENEWED

Business

First Name

NICCOLE

Middle

Last Name

KOELLER

Business Name

NICCOLE A KOELLER

Original Issue Date

02/15/2000

Effective Date

01/31/2011

Expiration Date

01/31/2013

City

CHATHAM

State

Zip

62629

County

SANGAMON

Ever Disciplined

LastModifiedDate

03/20/2013

Case Number

2007006577

Action

Suspension

Discipline Start Date

10/24/2011

Discipline Reason

due to a violation of probation.