NICKI L PAYNE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043113758

License Status

NOT RENEWED

Business

First Name

NICKI

Middle

Last Name

PAYNE

Business Name

NICKI L PAYNE

Original Issue Date

10/24/2011

Effective Date

01/16/2013

Expiration Date

01/31/2015

City

SHAWNEETOWN

State

Zip

62984

County

GALLATIN

Ever Disciplined

LastModifiedDate

03/09/2015