JERRY DAVID NILES JR Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043085169

License Status

NOT RENEWED

Business

First Name

JERRY

Middle

DAVID

Last Name

NILES

Suffix

Business Name

JERRY DAVID NILES JR

Original Issue Date

08/21/2000

Effective Date

03/04/2003

Expiration Date

01/31/2003

City

FULTON

State

Zip

61252

County

WHITESIDE

Ever Disciplined

LastModifiedDate

10/15/2005