NICOLE M LEVERETT Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043088063

License Status

NOT RENEWED

Business

First Name

NICOLE

Middle

Last Name

LEVERETT

Business Name

NICOLE M LEVERETT

Original Issue Date

12/04/2002

Effective Date

03/04/2005

Expiration Date

01/31/2005

City

BLOOMINGTON

State

Zip

61704

Ever Disciplined

LastModifiedDate

10/21/2005