MIATA N NICKSON Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043120663

License Status

NOT RENEWED

Business

First Name

MIATA

Middle

Last Name

NICKSON

Business Name

MIATA N NICKSON

Original Issue Date

05/12/2015

Effective Date

01/14/2019

Expiration Date

01/31/2021

City

FRANKFORT

State

Zip

60423

County

WILL

Ever Disciplined

LastModifiedDate

03/11/2021