NICOLE R LEWIS Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043086794

License Status

NOT RENEWED

Business

First Name

NICOLE

Middle

Last Name

LEWIS

Business Name

NICOLE R LEWIS

Original Issue Date

11/13/2001

Effective Date

02/04/2005

Expiration Date

01/31/2007

City

MARTINSVILLE

State

Zip

62442

County

CLARK

Ever Disciplined

LastModifiedDate

03/16/2007