NICOLE M MALE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043090747

License Status

NOT RENEWED

Business

First Name

NICOLE

Middle

Last Name

MALE

Business Name

NICOLE M MALE

Original Issue Date

12/01/2004

Effective Date

12/01/2004

Expiration Date

01/31/2007

City

GARDNER

State

Zip

60424

County

GRUNDY

Ever Disciplined

LastModifiedDate

03/16/2007