NICHOLE R BANUELOS Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043105163

License Status

NOT RENEWED

Business

First Name

NICHOLE

Middle

Last Name

BANUELOS

Business Name

NICHOLE R BANUELOS

Original Issue Date

01/28/2008

Effective Date

01/09/2013

Expiration Date

01/31/2015

City

MASCOUTAH

State

Zip

62258

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

03/09/2015

Case Number

2013010643

Action

Suspension

Discipline Start Date

08/29/2014

Discipline Reason

for having diverted controlled substances for personal use from her prior employers.