NICOLE M BOHANAN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043090107

License Status

NOT RENEWED

Business

First Name

NICOLE

Middle

Last Name

BOHANAN

Business Name

NICOLE M BOHANAN

Original Issue Date

08/25/2004

Effective Date

12/17/2014

Expiration Date

01/31/2017

City

CANTON

State

Zip

61520

County

FULTON

Ever Disciplined

LastModifiedDate

03/27/2017