NICHOLE S BLEVENS Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043120498

License Status

NOT RENEWED

Business

First Name

NICHOLE

Middle

Last Name

BLEVENS

Business Name

NICHOLE S BLEVENS

Original Issue Date

03/26/2015

Effective Date

01/25/2019

Expiration Date

01/31/2021

City

MURPHYSBORO

State

Zip

62966

Ever Disciplined

LastModifiedDate

03/11/2021