CONNIE M NICHOLS Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041342969

License Status

NOT RENEWED

Business

First Name

CONNIE

Middle

Last Name

NICHOLS

Business Name

CONNIE M NICHOLS

Original Issue Date

09/28/2004

Effective Date

04/13/2016

Expiration Date

05/31/2018

City

LOWELL

State

Zip

46356

County

INDIANA

Ever Disciplined

LastModifiedDate

07/19/2018