LISA MARIE NICHOLS Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041333504

License Status

NOT RENEWED

Business

First Name

LISA

Middle

MARIE

Last Name

NICHOLS

Business Name

LISA MARIE NICHOLS

Original Issue Date

12/11/2002

Effective Date

12/11/2002

Expiration Date

05/31/2004

City

PORTAGE

State

Zip

46368

County

INDIANA

Ever Disciplined

LastModifiedDate

10/09/2006