NICOLE MARIE LEWIS Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043089044

License Status

NOT RENEWED

Business

First Name

NICOLE

Middle

MARIE

Last Name

LEWIS

Business Name

NICOLE MARIE LEWIS

Original Issue Date

10/08/2003

Effective Date

03/04/2005

Expiration Date

01/31/2005

City

ALMA

State

Zip

62807

County

MARION

Ever Disciplined

LastModifiedDate

10/21/2005