NICKOLAS J DOUGLAS Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043108501

License Status

NOT RENEWED

Business

First Name

NICKOLAS

Middle

Last Name

DOUGLAS

Business Name

NICKOLAS J DOUGLAS

Original Issue Date

08/18/2009

Effective Date

08/18/2009

Expiration Date

01/31/2011

City

SPRINGFIELD

State

Zip

62711

County

SANGAMON

Ever Disciplined

LastModifiedDate

03/10/2011