NICOLE ANN KLOCK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041337770

License Status

NOT RENEWED

Business

First Name

NICOLE

Middle

ANN

Last Name

KLOCK

Business Name

NICOLE ANN KLOCK

Original Issue Date

10/07/2003

Effective Date

10/07/2003

Expiration Date

05/31/2006

City

ST LOUIS

State

Zip

63119

County

MISSOURI

Ever Disciplined

LastModifiedDate

10/09/2006