NICOLE M GRAVER Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043090047

License Status

NOT RENEWED

Business

First Name

NICOLE

Middle

Last Name

GRAVER

Business Name

NICOLE M GRAVER

Original Issue Date

08/18/2004

Effective Date

03/04/2005

Expiration Date

01/31/2005

City

OGLESBY

State

Zip

61348

County

LA SALLE

Ever Disciplined

LastModifiedDate

10/21/2005