DOUGLAS ROBERT NIEDERKOHR Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043101400

License Status

INACTIVE

Business

First Name

DOUGLAS

Middle

ROBERT

Last Name

NIEDERKOHR

Business Name

DOUGLAS ROBERT NIEDERKOHR

Original Issue Date

03/16/2006

Effective Date

03/16/2006

Expiration Date

01/31/2007

City

MCHENRY

State

Zip

60050

County

MCHENRY

Ever Disciplined

LastModifiedDate

11/03/2006