NICHOLE JEAN BRIDEGROOM Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041511113

License Status

NOT RENEWED

Business

First Name

NICHOLE

Middle

JEAN

Last Name

BRIDEGROOM

Business Name

NICHOLE JEAN BRIDEGROOM

Original Issue Date

07/07/2021

Effective Date

05/04/2022

Expiration Date

06/30/2024

City

VALPARAISO

State

Zip

46385

Ever Disciplined

LastModifiedDate

02/05/2025